White, Amanda
White, Amanda is an sole proprietor health care provider with primary practice located at 1743 State Route 553 , Crown City OH 45623-9284. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. White, Amanda can be contacted via phone (740) 208-0569.Contact Information
Primary practice address
1743 State Route 553
Crown City OH 45623-9284
Phone: (740) 208-0569
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
| NPI number | 1477157188 |
|---|---|
| LBN Legal business name | White, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2020 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477157188 | NPPES |
| Ohio | MEDICAID | 2704096 |
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