Bostic, Amy Kay

Bostic, Amy Kay is an individual health care provider with primary practice located at 15655 37Th Ave N Ste 100 , Plymouth MN 55446-4003. 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. Bostic, Amy Kay can be contacted via phone (763) 587-7900.

Contact Information

Primary practice address
15655 37Th Ave N Ste 100 Plymouth MN 55446-4003
Phone: (763) 587-7900
Fax: (763) 587-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9942 Minnesota

Profile Details

NPI number 1467481994
LBN Legal business name Bostic, Amy Kay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 7th, 2022 - about 3 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 1467481994 NPPES
Minnesota MEDICAID 751115900

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