Whiteley, Amanda Susanne
Whiteley, Amanda Susanne is an individual health care provider with primary practice located at 525 Lilly Rd Ne Ste 250 , Olympia WA 98506-5101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Whiteley, Amanda Susanne can be contacted via phone (541) 386-3911.Contact Information
Primary practice address
525 Lilly Rd Ne Ste 250
Olympia WA 98506-5101
Phone: (541) 386-3911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 42508 | Kentucky |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | N9329 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD61407506 | Washington |
Profile Details
| NPI number | 1750421756 |
|---|---|
| LBN Legal business name | Whiteley, Amanda Susanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jun 12th, 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 | 1750421756 | NPPES |
| Texas | MEDICAID | 282852701 |
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