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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477157188 NPPES
Ohio MEDICAID 2704096

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