Martin, Amanda Cenac

Martin, Amanda Cenac is an individual health care provider with primary practice located at 1111 Medical Center Blvd Suite S350, Marrero LA 70072-3151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Martin, Amanda Cenac can be contacted via phone (504) 349-6350.

Contact Information

Primary practice address
1111 Medical Center Blvd Suite S350 Marrero LA 70072-3151
Phone: (504) 349-6350
Fax: (504) 934-8701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200632 Louisiana

Profile Details

NPI number 1558701631
LBN Legal business name Martin, Amanda Cenac
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2013
Last updated Sep 19th, 2019 - about 7 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 1558701631 NPPES
Louisiana MEDICAID 2370316
Louisiana MEDICAID 00287527

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