Herbstrith, Ami L

Herbstrith, Ami L is an individual health care provider with primary practice located at 8055 Club Pkwy , Cordova TN 38016-5967. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Herbstrith, Ami L can be contacted via phone (901) 309-7700.

Contact Information

Primary practice address
8055 Club Pkwy Cordova TN 38016-5967
Phone: (901) 309-7700
Fax: (901) 507-3297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 701 Tennessee

Profile Details

NPI number 1336135995
LBN Legal business name Herbstrith, Ami L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Feb 21st, 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 1336135995 NPPES
Tennessee MEDICAID 103I480399

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