Andersen, Amy
Andersen, Amy is an individual health care provider with primary practice located at 1765 Lininger Ln , North Liberty IA 52317-2316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Andersen, Amy can be contacted via phone (319) 665-3055.Contact Information
Primary practice address
1765 Lininger Ln
North Liberty IA 52317-2316
Phone: (319) 665-3055
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33637 | Iowa |
Profile Details
NPI number | 1932169778 |
---|---|
LBN Legal business name | Andersen, Amy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Oct 25th, 2007 - about 18 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 | 1932169778 | NPPES |
Iowa | MEDICAID | 2192823 |
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