Anderson, Amy

Anderson, Amy is an individual health care provider with primary practice located at 1110 Clay St , Vicksburg MS 39183-2912. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Anderson, Amy can be contacted via phone (601) 738-5820.

Contact Information

Primary practice address
1110 Clay St Vicksburg MS 39183-2912
Phone: (601) 738-5820
Fax: (601) 738-5083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1427691450
LBN Legal business name Anderson, Amy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2019
Last updated Oct 22nd, 2019 - about 6 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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