Provider Demographics
NPI:1568042737
Name:AMC CORPORATION
Entity Type:Organization
Organization Name:AMC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:M
Authorized Official - Last Name:PANEBIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-877-4663
Mailing Address - Street 1:PO BOX 791954
Mailing Address - Street 2:
Mailing Address - City:PAIA
Mailing Address - State:HI
Mailing Address - Zip Code:96779-1954
Mailing Address - Country:US
Mailing Address - Phone:808-877-4663
Mailing Address - Fax:808-877-4662
Practice Address - Street 1:169 MAA ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3634
Practice Address - Country:US
Practice Address - Phone:808-877-4663
Practice Address - Fax:808-877-4662
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMC CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty