Provider Demographics
NPI:1730361957
Name:DOERING, AMANDA NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:NICOLE
Last Name:DOERING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE VILLAGE MALL BAY 12
Mailing Address - Street 2:RR1 BOX 10556
Mailing Address - City:KINGSHILL
Mailing Address - State:UNITED STATES VIRGIN ISLANDS
Mailing Address - Zip Code:00850
Mailing Address - Country:UM
Mailing Address - Phone:340-773-4300
Mailing Address - Fax:340-773-4301
Practice Address - Street 1:THE VILLAGE MALL BAY 12
Practice Address - Street 2:RR1 BOX 10556
Practice Address - City:KINGSHILL
Practice Address - State:VIRGIN ISLANDS
Practice Address - Zip Code:00850
Practice Address - Country:UM
Practice Address - Phone:340-773-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI51111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor