Hackenberg, Amber Ann
Hackenberg, Amber Ann is an individual health care provider with primary practice located at 323 E Riverside Drive Ste 224, Eagle ID 83616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hackenberg, Amber Ann can be contacted via phone (208) 302-6000.Contact Information
Primary practice address
323 E Riverside Drive Ste 224
Eagle ID 83616
Phone: (208) 302-6000
Fax: (208) 302-6055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA152970 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-948 | Idaho |
Profile Details
| NPI number | 1326357070 |
|---|---|
| LBN Legal business name | Hackenberg, Amber Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2010 |
| Last updated | Feb 15th, 2018 - 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.
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