Moore, Amanda Elisabeth

Moore, Amanda Elisabeth is an individual health care provider with primary practice located at 201 N Pittsburgh St Suite 3A, Connellsville PA 15425-3233. 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. Moore, Amanda Elisabeth can be contacted via phone (724) 628-4450.

Contact Information

Primary practice address
201 N Pittsburgh St Suite 3A Connellsville PA 15425-3233
Phone: (724) 628-4450
Fax: (724) 626-2580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA055051 Pennsylvania

Profile Details

NPI number 1568740009
LBN Legal business name Moore, Amanda Elisabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Aug 11th, 2011 - about 15 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 1568740009 NPPES
Pennsylvania Other MA055051 STATE LICENSE

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