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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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