Gillespie, Amanda M
Gillespie, Amanda M is an individual health care provider with primary practice located at 1865 N Ridge Rd E , Lorain OH 44055-3300. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gillespie, Amanda M can be contacted via phone (440) 462-1538.Contact Information
Primary practice address
1865 N Ridge Rd E
Lorain OH 44055-3300
Phone: (440) 462-1538
Fax: (440) 324-0070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.600782-SUPV | Ohio |
Profile Details
| NPI number | 1134478787 |
|---|---|
| LBN Legal business name | Gillespie, Amanda M |
| Credentials | LISW-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2012 |
| Last updated | May 9th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134478787 | NPPES |
| Ohio | MEDICAID | 0268768 |
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