Clouse, Amy Lynn

Clouse, Amy Lynn is an individual health care provider with primary practice located at 500 York Rd Suite 108, Jenkintown PA 19046-2852. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clouse, Amy Lynn can be contacted via phone (215) 481-2725.

Contact Information

Primary practice address
500 York Rd Suite 108 Jenkintown PA 19046-2852
Fax: (215) 481-3013
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD066049L Pennsylvania

Profile Details

NPI number 1073544433
LBN Legal business name Clouse, Amy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 14th, 2014 - about 10 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 1073544433 NPPES
Pennsylvania MEDICAID 001736552001

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