Martin, Amanda Beth
Martin, Amanda Beth is an individual health care provider with primary practice located at E7475 Rawhide Rd , New London WI 54961-9025. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Martin, Amanda Beth can be contacted via phone (877) 300-9101.Contact Information
Primary practice address
E7475 Rawhide Rd
New London WI 54961-9025
Phone: (877) 300-9101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3551-226 | Wisconsin |
Profile Details
| NPI number | 1003388380 |
|---|---|
| LBN Legal business name | Martin, Amanda Beth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2018 |
| Last updated | Dec 26th, 2018 - about 8 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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