Roeder, Amanda

Roeder, Amanda is an individual health care provider with primary practice located at 9669 E 146Th St Ste 100 , Noblesville IN 46060-5006. 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. Roeder, Amanda can be contacted via phone (317) 621-3434.

Contact Information

Primary practice address
9669 E 146Th St Ste 100 Noblesville IN 46060-5006
Phone: (317) 621-3434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10003631A Indiana

Profile Details

NPI number 1447998562
LBN Legal business name Roeder, Amanda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2022
Last updated Jan 31st, 2023 - about 3 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 1447998562 NPPES
Indiana Other 10003631A INDIANA LICENSE NUMBER

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