Utecht, Amy Nicole
Utecht, Amy Nicole is an sole proprietor health care provider with primary practice located at 2001 Professional Pkwy Ste 220 , Woodstock GA 30188-6444. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Utecht, Amy Nicole can be contacted via phone (448) 543-8437.Contact Information
Primary practice address
2001 Professional Pkwy Ste 220
Woodstock GA 30188-6444
Phone: (448) 543-8437
Fax: (844) 471-3799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT003834 | Georgia |
Profile Details
| NPI number | 1477625424 |
|---|---|
| LBN Legal business name | Utecht, Amy Nicole |
| Credentials | OTD, MSOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 16th, 2019 - about 7 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 | 1477625424 | NPPES |
| Georgia | Other | 490456055A | PEACH STATE HEALTH PLAN |
| Georgia | Other | 10035969 | PEACH STATE HEALTH PLAN |
| Georgia | Other | 312668 | PEACH STATE HEALTH PLAN |
| Georgia | MEDICAID | 490456055D | PEACH STATE HEALTH PLAN |
| Georgia | Other | 52070551 009 | PEACH STATE HEALTH PLAN |
| Georgia | Other | 52070551 010 | PEACH STATE HEALTH PLAN |
| Georgia | MEDICAID | 490456055A | PEACH STATE HEALTH PLAN |
| Georgia | Other | 52070551 004 | PEACH STATE HEALTH PLAN |
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