Weber, Amanda Rose Berger
Weber, Amanda Rose Berger is an individual health care provider with primary practice located at 3901 Beaubien Children'S Hospital Of Michigan, Detroit MI 48201. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Weber, Amanda Rose Berger can be contacted via phone (313) 745-5788.Contact Information
Primary practice address
3901 Beaubien Children'S Hospital Of Michigan
Detroit MI 48201
Phone: (313) 745-5788
Fax: (313) 745-5074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5101022181 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34.010067 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 34.010067 | Ohio |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 34.010067 | Ohio |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 5101022181 | Michigan |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 5101022181 | Michigan |
Profile Details
| NPI number | 1053553602 |
|---|---|
| LBN Legal business name | Weber, Amanda Rose Berger |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2009 |
| Last updated | Jun 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053553602 | NPPES |
| Ohio | MEDICAID | 0124463 |
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