Prusak, Amanda

Prusak, Amanda is an individual health care provider with primary practice located at 1800 Mcfarland Blvd E Ste 340 , Tuscaloosa AL 35404-5882. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Prusak, Amanda can be contacted via phone (205) 345-2801.

Contact Information

Primary practice address
1800 Mcfarland Blvd E Ste 340 Tuscaloosa AL 35404-5882
Phone: (205) 345-2801
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2310 North Carolina

Profile Details

NPI number 1144642158
LBN Legal business name Prusak, Amanda
Credentials MA, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2014
Last updated Apr 5th, 2019 - about 7 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 1144642158 NPPES
North Carolina Other 2310 NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS
North Carolina Other 200014240 NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS

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