| Amanda Dubas, Llc | |
|
1917 W Faidley Ave Grand Island NE 68803-4642 | |
| (308) 398-0350 | |
| (308) 398-0351 |
| Full Name | Amanda Dubas, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1917 W Faidley Ave, Grand Island, Nebraska |
| Authorized Official Name and Position | Amanda Husein (OWNER) |
| Authorized Official Contact | 3083980350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Dubas, Llc 1917 W Faidley Ave Grand Island NE 68803-4642 Ph: (308) 398-0350 | Amanda Dubas, Llc 1917 W Faidley Ave Grand Island NE 68803-4642 Ph: (308) 398-0350 |
| NPI Number | 1801314869 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3971930587 |
|---|---|
| Medicare Enrollment ID | O20200220001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801314869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7186 (Nebraska) | Primary |
| Provider Name | Amandarose Dubas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598283558 PECOS PAC ID: 4880021492 Enrollment ID: I20200220001622 |
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