Healthcare Provider Details

I. General information

NPI: 1124951983
Provider Name (Legal Business Name): AMANDA LEIGH CARPENTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68840 HALFWAY RD
BURR OAK MI
49030-9608
US

IV. Provider business mailing address

68840 HALFWAY RD
BURR OAK MI
49030-9608
US

V. Phone/Fax

Practice location:
  • Phone: 269-503-5885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: