Dickinson, Amy W

Dickinson, Amy W is an individual health care provider with primary practice located at 250 Park St , Bowling Green KY 42101-1760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Dickinson, Amy W can be contacted via phone (270) 745-1000.

Contact Information

Primary practice address
250 Park St Bowling Green KY 42101-1760
Phone: (270) 745-1000
Fax: (270) 393-1913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3761A Kentucky

Profile Details

NPI number 1558355164
LBN Legal business name Dickinson, Amy W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Oct 11th, 2007 - about 19 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 1558355164 NPPES
Kentucky Other 000000238330 BLUE CROSS
Kentucky MEDICAID 74005125 BLUE CROSS

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