Moddrell, Amber
Moddrell, Amber is an individual health care provider with primary practice located at 552 N Colorado St , Kennewick WA 99336-7779. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Moddrell, Amber can be contacted via phone (808) 284-7225.Contact Information
Primary practice address
552 N Colorado St
Kennewick WA 99336-7779
Phone: (808) 284-7225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1699045898 |
|---|---|
| LBN Legal business name | Moddrell, Amber |
| Credentials | Associate of Arts (AA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2012 |
| Last updated | Jan 4th, 2012 - about 14 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 | 1699045898 | NPPES |
| Other | 26-3162747 | TUTOR |
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