Porter, Amanda
Porter, Amanda is an individual health care provider with primary practice located at 1212 Bath Ave , Ashland KY 41101-2696. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Porter, Amanda can be contacted via phone (606) 329-8588.Contact Information
Primary practice address
1212 Bath Ave
Ashland KY 41101-2696
Phone: (606) 329-8588
Fax: (606) 329-8195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1629212808 |
|---|---|
| LBN Legal business name | Porter, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2009 |
| Last updated | Nov 7th, 2014 - about 11 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 | 1629212808 | NPPES |
| Kentucky | MEDICAID | 30610026 |
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