Ketch, Amanda
Ketch, Amanda is an individual health care provider with primary practice located at 44 Park St , Presque Isle ME 04769-2140. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Ketch, Amanda can be contacted via phone (207) 764-3721.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | SAS3488 | Maine |
Profile Details
| NPI number | 1447903315 |
|---|---|
| LBN Legal business name | Ketch, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2022 |
| Last updated | Feb 1st, 2022 - about 4 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 | 1447903315 | NPPES |
| Maine | MEDICAID | SAS3488 |
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