Owens, Amanda K

Owens, Amanda K is an individual health care provider with primary practice located at 1950 Glenn Mitchell Drive Ste 304, Virginia Beach VA 23456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Owens, Amanda K can be contacted via phone (757) 507-0255.

Contact Information

Primary practice address
1950 Glenn Mitchell Drive Ste 304 Virginia Beach VA 23456
Fax: (757) 275-9880
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101236415 Virginia

Profile Details

NPI number 1396710760
LBN Legal business name Owens, Amanda K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396710760 NPPES
Virginia MEDICAID 010077486

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