Wilcox, Amanda
Wilcox, Amanda is an sole proprietor health care provider with primary practice located at 1805 Station Dr , Prattville AL 36066-5667. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilcox, Amanda can be contacted via phone (334) 730-0880.Contact Information
Primary practice address
1805 Station Dr
Prattville AL 36066-5667
Phone: (334) 730-0880
Fax: (334) 730-0877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L.3014R | Alabama |
Profile Details
| NPI number | 1669763868 |
|---|---|
| LBN Legal business name | Wilcox, Amanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2011 |
| Last updated | Sep 4th, 2015 - about 11 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 | 1669763868 | NPPES |
| Alabama | MEDICAID | 166454 |
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