Mutch, Amy E

Mutch, Amy E is an individual health care provider with primary practice located at 711 Maiden Choice Ln , Catonsville MD 21228-3632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mutch, Amy E can be contacted via phone (410) 242-5602.

Contact Information

Primary practice address
711 Maiden Choice Ln Catonsville MD 21228-3632
Phone: (410) 242-5602
Fax: (410) 242-1756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X R095947 Maryland

Profile Details

NPI number 1093907982
LBN Legal business name Mutch, Amy E
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Dec 5th, 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 1093907982 NPPES
Maryland MEDICAID 419000900
Maryland Other KG01ER-686115-01
Maryland Other 0024
Maryland MEDICAID 960702100
Maryland Other 8300978
Maryland Other 686115-01

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