Everett, Amy V.

Everett, Amy V. is an individual health care provider with primary practice located at 425 E 1St St Ste 201, Bloomsburg PA 17815-1480. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Everett, Amy V. can be contacted via phone (570) 416-1816.

Contact Information

Primary practice address
425 E 1St St Ste 201 Bloomsburg PA 17815-1480
Fax: (570) 416-1810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS010275L Pennsylvania

Profile Details

NPI number 1437126752
LBN Legal business name Everett, Amy V.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Aug 21st, 2020 - about 6 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 1437126752 NPPES
Pennsylvania MEDICAID 0018509870007

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