Fedewa, Amy Lynn

Fedewa, Amy Lynn is an individual health care provider with primary practice located at 1717 Shaffer St , Kalamazoo MI 49048-1647. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Fedewa, Amy Lynn can be contacted via phone (269) 226-5965.

Contact Information

Primary practice address
1717 Shaffer St Kalamazoo MI 49048-1647
Phone: (269) 226-5965
Fax: (269) 226-5056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD004098 Georgia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86012347 Michigan

Profile Details

NPI number 1881026300
LBN Legal business name Fedewa, Amy Lynn
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2013
Last updated Dec 5th, 2014 - about 12 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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