Trout, Amanda C

Trout, Amanda C is an individual health care provider with primary practice located at 954 Avenida Ponce De Leon Ste 205- Pmb#10600, San Juan PR 00906. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Trout, Amanda C can be contacted via phone (847) 275-5961.

Contact Information

Primary practice address
954 Avenida Ponce De Leon Ste 205- Pmb#10600 San Juan PR 00906
Phone: (847) 275-5961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Q7802 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X Q7802 Texas

Profile Details

NPI number 1699074823
LBN Legal business name Trout, Amanda C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2011
Last updated Oct 2nd, 2023 - about 2 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 1699074823 NPPES
Texas MEDICAID 363846202

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