Montaban, Amanda

Montaban, Amanda is an individual health care provider with primary practice located at 3000 S Croatan Hwy , Nags Head NC 27959-9029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Montaban, Amanda can be contacted via phone (252) 441-3507.

Contact Information

Primary practice address
3000 S Croatan Hwy Nags Head NC 27959-9029
Phone: (252) 441-3507
Fax: (252) 441-1327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 8089 North Carolina

Profile Details

NPI number 1497725717
LBN Legal business name Montaban, Amanda
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1497725717 NPPES
North Carolina MEDICAID 7211718
North Carolina Other D4924
North Carolina Other 079JX

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