Bobalik, Amy M
Bobalik, Amy M is an individual health care provider with primary practice located at 5 Matchett Dr Us Hwy 30 W, Pierceton IN 46562-9073. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bobalik, Amy M can be contacted via phone (574) 594-2136.Contact Information
Primary practice address
5 Matchett Dr Us Hwy 30 W
Pierceton IN 46562-9073
Phone: (574) 594-2136
Fax: (574) 594-2281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37001977A | Indiana |
Profile Details
| NPI number | 1497060511 |
|---|---|
| LBN Legal business name | Bobalik, Amy M |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2010 |
| Last updated | Mar 25th, 2013 - about 13 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 | 1497060511 | NPPES |
| Indiana | Other | 000000675220 | ANTHEM |
| Indiana | Other | 000000675210 | ANTHEM |
| Indiana | Other | 000000675021 | ANTHEM |
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