Trucksess, Amanda B

Trucksess, Amanda B is an individual health care provider with primary practice located at 1850 Town Center Pkwy Suite 400, Reston VA 20190-3219. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Trucksess, Amanda B can be contacted via phone (703) 810-5202.

Contact Information

Primary practice address
1850 Town Center Pkwy Suite 400 Reston VA 20190-3219
Phone: (703) 810-5202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116016644 Virginia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101243539 Virginia

Profile Details

NPI number 1366655839
LBN Legal business name Trucksess, Amanda B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Sep 17th, 2020 - about 6 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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