Hettinger, Amanda Belle

Hettinger, Amanda Belle is an individual health care provider with primary practice located at 4123 Dutchmans Ln Suite 503, Louisville KY 40207-4707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Hettinger, Amanda Belle can be contacted via phone (502) 409-5600.

Contact Information

Primary practice address
4123 Dutchmans Ln Suite 503 Louisville KY 40207-4707
Phone: (502) 409-5600
Fax: (502) 259-3078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 42690 Kentucky

Profile Details

NPI number 1063401354
LBN Legal business name Hettinger, Amanda Belle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Apr 11th, 2024 - about 2 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 1063401354 NPPES
Indiana MEDICAID 200528120
Indiana MEDICAID 272440
Indiana MEDICAID 64119936

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