Cvengros, Amy D

Cvengros, Amy D is an individual health care provider with primary practice located at 440 Woodward Ave , Iron Mountain MI 49801-4631. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cvengros, Amy D can be contacted via phone (906) 776-9040.

Contact Information

Primary practice address
440 Woodward Ave Iron Mountain MI 49801-4631
Phone: (906) 776-9040
Fax: (906) 774-5950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51856 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301507438 Michigan

Profile Details

NPI number 1558449009
LBN Legal business name Cvengros, Amy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 5th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558449009 NPPES
Wisconsin Other 711290211 MEDICARE PTAN
Wisconsin Other 450030815 MEDICARE PTAN

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