Cvengros, Amy D
Cvengros, Amy D is an individual health care provider with primary practice located at 440 Woodward Ave , Iron Mountain MI 49801-4631. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cvengros, Amy D can be contacted via phone (906) 776-9040.Contact Information
Primary practice address
440 Woodward Ave
Iron Mountain MI 49801-4631
Phone: (906) 776-9040
Fax: (906) 774-5950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 51856 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301507438 | Michigan |
Profile Details
| NPI number | 1558449009 |
|---|---|
| LBN Legal business name | Cvengros, Amy D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558449009 | NPPES |
| Wisconsin | Other | 711290211 | MEDICARE PTAN |
| Wisconsin | Other | 450030815 | MEDICARE PTAN |
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