Hanson, Amanda
Hanson, Amanda is an individual health care provider with primary practice located at 30 Medical Park Suite 230, Wheeling WV 26003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hanson, Amanda can be contacted via phone (304) 243-8300.Contact Information
Primary practice address
30 Medical Park Suite 230
Wheeling WV 26003
Phone: (304) 243-8300
Fax: (304) 243-8306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 63452 | West Virginia |
Profile Details
| NPI number | 1962430223 |
|---|---|
| LBN Legal business name | Hanson, Amanda |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962430223 | NPPES |
| Ohio | MEDICAID | 2452457 | |
| Ohio | MEDICAID | 7102329000 |
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