Allen, Amy Marie

Allen, Amy Marie is an individual health care provider with primary practice located at 3209 Colonial Dr , Columbia SC 29203-6930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Allen, Amy Marie can be contacted via phone (803) 434-6113.

Contact Information

Primary practice address
3209 Colonial Dr Columbia SC 29203-6930
Phone: (803) 434-6113
Fax: (803) 434-4277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103939 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2373 South Carolina

Profile Details

NPI number 1386715399
LBN Legal business name Allen, Amy Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Dec 3rd, 2015 - about 10 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 1386715399 NPPES
North Carolina MEDICAID 8901642
North Carolina MEDICAID 2288PA

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