Tobak, Amy Jo
Tobak, Amy Jo is an individual health care provider with primary practice located at 208 S Arch St , Connellsville PA 15425-3519. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tobak, Amy Jo can be contacted via phone (724) 626-2630.Contact Information
Primary practice address
208 S Arch St
Connellsville PA 15425-3519
Phone: (724) 626-2630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1629051305 |
|---|---|
| LBN Legal business name | Tobak, Amy Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Apr 15th, 2008 - about 18 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 | 1629051305 | NPPES |
| Pennsylvania | MEDICAID | 1007288440037 | |
| Pennsylvania | MEDICAID | 328834A336347 |
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