Staggers, Amanda
Staggers, Amanda is an sole proprietor health care provider with primary practice located at 1504 Avenue K Apt 112 , Dodge City KS 67801-7124. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Staggers, Amanda can be contacted via phone (843) 591-9848.Contact Information
Primary practice address
1504 Avenue K Apt 112
Dodge City KS 67801-7124
Phone: (843) 591-9848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1386125912 |
|---|---|
| LBN Legal business name | Staggers, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2018 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386125912 | NPPES |
| Kansas | Other | K02324995 | DRIVERS LICENSE |
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