Leche, Amanda Renee
Leche, Amanda Renee is an individual health care provider with primary practice located at 1650 Skylyn Dr , Spartanburg SC 29307-1047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Leche, Amanda Renee can be contacted via phone (864) 327-8060.Contact Information
Primary practice address
1650 Skylyn Dr
Spartanburg SC 29307-1047
Phone: (864) 327-8060
Fax: (864) 327-8076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1392 | South Carolina |
Profile Details
| NPI number | 1043209752 |
|---|---|
| LBN Legal business name | Leche, Amanda Renee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 21st, 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 | 1043209752 | NPPES |
| South Carolina | MEDICAID | 1707PA |
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