Ross, Amanda Lynn

Ross, Amanda Lynn is an individual health care provider with primary practice located at 1328 Sallys Backbone Rd , Glen Easton WV 26039-1535. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Ross, Amanda Lynn can be contacted via phone (304) 843-5101.

Contact Information

Primary practice address
1328 Sallys Backbone Rd Glen Easton WV 26039-1535
Phone: (304) 843-5101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1922702315
LBN Legal business name Ross, Amanda Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2023
Last updated Mar 29th, 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 1922702315 NPPES
West Virginia MEDICAID 125553494
West Virginia MEDICAID 1356607394
West Virginia MEDICAID 1821206228

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