Erlenbusch, Amy

Erlenbusch, Amy is an individual health care provider with primary practice located at 4344 W Bell Rd Ste 102 , Glendale AZ 85308-3589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Erlenbusch, Amy can be contacted via phone (602) 588-4040.

Contact Information

Primary practice address
4344 W Bell Rd Ste 102 Glendale AZ 85308-3589
Phone: (602) 588-4040
Fax: (602) 588-4034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-004291 Illinois

Profile Details

NPI number 1831142710
LBN Legal business name Erlenbusch, Amy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 25th, 2021 - about 5 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 1831142710 NPPES
Arizona MEDICAID 634817

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