Mercer, Amy Elizabeth

Mercer, Amy Elizabeth is an sole proprietor health care provider with primary practice located at 202 A St Sw , Miami OK 74354-7604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mercer, Amy Elizabeth can be contacted via phone (918) 541-9400.

Contact Information

Primary practice address
202 A St Sw Miami OK 74354-7604
Fax: (918) 541-9411
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X APA1624 Oklahoma

Profile Details

NPI number 1932253275
LBN Legal business name Mercer, Amy Elizabeth
Credentials PA C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated May 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 1932253275 NPPES
Oklahoma MEDICAID 200468380Y
Oklahoma MEDICAID 200107870A

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