King, Amy M.

King, Amy M. is an individual health care provider with primary practice located at 630 E River St , Elyria OH 44035-5902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. King, Amy M. can be contacted via phone (440) 329-7500.

Contact Information

Primary practice address
630 E River St Elyria OH 44035-5902
Phone: (440) 329-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP-08416 Ohio

Profile Details

NPI number 1043251663
LBN Legal business name King, Amy M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 7th, 2011 - about 15 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 1043251663 NPPES
Other P00663386 MEDICARE RAILROAD
MEDICAID 2675574 MEDICARE RAILROAD

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