Reichenbach, Amanda K

Reichenbach, Amanda K is an individual health care provider with primary practice located at 1901 S. Shady Street , Mountain City TN 37683-2601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reichenbach, Amanda K can be contacted via phone (423) 727-1150.

Contact Information

Primary practice address
1901 S. Shady Street Mountain City TN 37683-2601
Fax: (423) 727-1134
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18023 Tennessee

Profile Details

NPI number 1659709673
LBN Legal business name Reichenbach, Amanda K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2013
Last updated Sep 27th, 2018 - about 8 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 1659709673 NPPES
Tennessee MEDICAID 1533577

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