Fallos, Amanda Sher

Fallos, Amanda Sher is an individual health care provider with primary practice located at 3939 Central Pike , Hermitage TN 37076-3499. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fallos, Amanda Sher can be contacted via phone (615) 883-2331.

Contact Information

Primary practice address
3939 Central Pike Hermitage TN 37076-3499
Phone: (615) 883-2331
Fax: (615) 391-1785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1758 Tennessee

Profile Details

NPI number 1225364748
LBN Legal business name Fallos, Amanda Sher
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2009
Last updated May 18th, 2023 - about 3 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 1225364748 NPPES
Tennessee Other 621798471 GROUP TAX ID
Tennessee MEDICAID 1526983 GROUP TAX ID
Tennessee Other 12328183 GROUP TAX ID

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