De Long, Amy
De Long, Amy is an individual health care provider with primary practice located at S2845 White Eagle Lane , Baraboo WI 53913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. De Long, Amy can be contacted via phone (608) 355-1240.Contact Information
Primary practice address
S2845 White Eagle Lane
Baraboo WI 53913
Phone: (608) 355-1240
Fax: (608) 356-6347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 44246 | Wisconsin |
Profile Details
| NPI number | 1932278090 |
|---|---|
| LBN Legal business name | De Long, Amy |
| Credentials | MD MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Feb 1st, 2022 - about 2 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 | 1932278090 | NPPES |
| Wisconsin | MEDICAID | 34508300 | |
| Wisconsin | Other | 0012 |
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