Huseby, Amy Lynn

Huseby, Amy Lynn is an individual health care provider with primary practice located at 6490 Excelsior Blvd Ste W200, St Louis Park MN 55426-4705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Huseby, Amy Lynn can be contacted via phone (952) 993-3180.

Contact Information

Primary practice address
6490 Excelsior Blvd Ste W200 St Louis Park MN 55426-4705
Phone: (952) 993-3180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9774 Minnesota

Profile Details

NPI number 1508842105
LBN Legal business name Huseby, Amy Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 17th, 2009 - about 17 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 1508842105 NPPES
Minnesota MEDICAID 876443300

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