Short, Amy C

Short, Amy C is an individual health care provider with primary practice located at 1115 S Willow St , North Platte NE 69101-6082. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Short, Amy C can be contacted via phone (308) 534-4804.

Contact Information

Primary practice address
1115 S Willow St North Platte NE 69101-6082
Phone: (308) 534-4804
Fax: (308) 534-0460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101234052 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 27873 Nebraska

Profile Details

NPI number 1245202001
LBN Legal business name Short, Amy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 31st, 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 1245202001 NPPES
Nebraska Other 27873 STATE MEDICAL LICENSE
Nebraska MEDICAID 200638290A STATE MEDICAL LICENSE

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