Church, Amy
Church, Amy is an sole proprietor health care provider with primary practice located at 1 Robert Wood Johnson Pl Meb 104, New Brunswick NJ 08903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Church, Amy can be contacted via phone (732) 235-8717.Contact Information
Primary practice address
1 Robert Wood Johnson Pl Meb 104
New Brunswick NJ 08903
Phone: (732) 235-8717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 206943 | New York |
Profile Details
| NPI number | 1831191212 |
|---|---|
| LBN Legal business name | Church, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jan 22nd, 2008 - about 16 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 | 1831191212 | NPPES |
| New York | MEDICAID | 01780592 |
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