Evans, Amanda

Evans, Amanda is an individual health care provider with primary practice located at 1000 Alliance Dr , Hazleton PA 18202-3234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Evans, Amanda can be contacted via phone (570) 459-2226.

Contact Information

Primary practice address
1000 Alliance Dr Hazleton PA 18202-3234
Phone: (570) 459-2226
Fax: (570) 459-2511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA 056607 Pennsylvania

Profile Details

NPI number 1528480639
LBN Legal business name Evans, Amanda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2014
Last updated Feb 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528480639 NPPES
Pennsylvania MEDICAID 103145630-0001

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