Amlin, Judy A
Amlin, Judy A is an individual health care provider with primary practice located at 7979 N Shadeland Ave Ste 200, Indianapolis IN 46250-2042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Amlin, Judy A can be contacted via phone (317) 621-4300.Contact Information
Primary practice address
7979 N Shadeland Ave Ste 200
Indianapolis IN 46250-2042
Phone: (317) 621-4300
Fax: (317) 621-4301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71000772A | Indiana |
Profile Details
| NPI number | 1255389599 |
|---|---|
| LBN Legal business name | Amlin, Judy A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1255389599 | NPPES |
| Indiana | Other | 000000639940 | NTHEM |
| Indiana | MEDICAID | 200215820 | NTHEM |
| Indiana | Other | P01751226 | NTHEM |
| Indiana | Other | P01015609 | NTHEM |
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