Hertweck-Warner, Amy L.

Hertweck-Warner, Amy L. is an individual health care provider with primary practice located at 1905 W 32Nd St Suite 103, Joplin MO 64804-1529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hertweck-Warner, Amy L. can be contacted via phone (417) 659-6967.

Contact Information

Primary practice address
1905 W 32Nd St Suite 103 Joplin MO 64804-1529
Phone: (417) 659-6967
Fax: (405) 745-9602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA2082142 Missouri

Profile Details

NPI number 1013959006
LBN Legal business name Hertweck-Warner, Amy L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 2nd, 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 1013959006 NPPES
Missouri MEDICAID 245828405
Missouri Other P00760838
Missouri MEDICAID 179498003

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