Amlicke, James David

Amlicke, James David is an individual health care provider with primary practice located at 311 Landrum Place Suite 100, Clarksville TN 37043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Amlicke, James David can be contacted via phone (931) 648-3563.

Contact Information

Primary practice address
311 Landrum Place Suite 100 Clarksville TN 37043
Phone: (931) 648-3563
Fax: (931) 648-8133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X TN24102 Tennessee

Profile Details

NPI number 1508961996
LBN Legal business name Amlicke, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Sep 17th, 2020 - about 4 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 1508961996 NPPES
Tennessee MEDICAID 3839672
Tennessee MEDICAID 38396711
Tennessee Other 4157789

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