Burt, Amy C
Burt, Amy C is an individual health care provider with primary practice located at 3007 Harbor Ln N , Plymouth MN 55447-5103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Burt, Amy C can be contacted via phone (952) 993-8900.Contact Information
Primary practice address
3007 Harbor Ln N
Plymouth MN 55447-5103
Phone: (952) 993-8900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 43111 | Minnesota |
Profile Details
| NPI number | 1053398024 |
|---|---|
| LBN Legal business name | Burt, Amy C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Mar 1st, 2012 - about 13 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 | 1053398024 | NPPES |
| Minnesota | MEDICAID | 216938000 |
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