Young, Amanda
Young, Amanda is an sole proprietor health care provider with primary practice located at 606 Broad St Ste F , South Boston VA 24592-3200. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Young, Amanda can be contacted via phone (434) 575-5200.Contact Information
Primary practice address
606 Broad St Ste F
South Boston VA 24592-3200
Phone: (434) 575-5200
Fax: (434) 575-5054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1588164891 |
|---|---|
| LBN Legal business name | Young, Amanda |
| Credentials | SERVICES FACILITATOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2018 |
| Last updated | Feb 14th, 2018 - about 8 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 | 1588164891 | NPPES |
| Virginia | MEDICAID | 1619053667 |
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