Heneisen, Amy Lynn

Heneisen, Amy Lynn is an individual health care provider with primary practice located at 1402 E County Line Rd , Indianapolis IN 46227-0963. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Heneisen, Amy Lynn can be contacted via phone (317) 887-7000.

Contact Information

Primary practice address
1402 E County Line Rd Indianapolis IN 46227-0963
Phone: (317) 887-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01049007A Indiana

Profile Details

NPI number 1265407357
LBN Legal business name Heneisen, Amy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265407357 NPPES
Indiana MEDICAID 200284090

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