Carleton, Amy
Carleton, Amy is an individual health care provider with primary practice located at 8758 Egan Dr , Savage MN 55378-2561. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Carleton, Amy can be contacted via phone (952) 443-9888.Contact Information
Primary practice address
8758 Egan Dr
Savage MN 55378-2561
Phone: (952) 443-9888
Fax: (952) 443-9804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 103530 | Minnesota |
Profile Details
| NPI number | 1063965507 |
|---|---|
| LBN Legal business name | Carleton, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2016 |
| Last updated | Nov 10th, 2016 - about 8 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 | 1063965507 | NPPES |
| Minnesota | Other | 16154051 | PT CARE |
| Minnesota | Other | 169036 | PT CARE |
| Minnesota | Other | 565581028803 | PT CARE |
| Minnesota | Other | 1311578 | PT CARE |
| Minnesota | Other | 76842 | PT CARE |
| Minnesota | Other | 78B64KI | PT CARE |
| Minnesota | MEDICAID | 001442700 | PT CARE |
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