Rosenblum, Amy Wyatt

Rosenblum, Amy Wyatt is an sole proprietor health care provider with primary practice located at 15237 Creativity Dr , Culpeper VA 22701. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Rosenblum, Amy Wyatt can be contacted via phone (540) 321-4281.

Contact Information

Primary practice address
15237 Creativity Dr Culpeper VA 22701
Phone: (540) 321-4281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT07529 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1619286424
LBN Legal business name Rosenblum, Amy Wyatt
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2010
Last updated Nov 27th, 2023 - about 3 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 1619286424 NPPES
Virginia Other VVS807A MEDICARE
Virginia MEDICAID 1619286424 MEDICARE

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