Dearking, Amy Corinne

Dearking, Amy Corinne is an individual health care provider with primary practice located at 1528 Northway Dr , Saint Cloud MN 56303-1255. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Dearking, Amy Corinne can be contacted via phone (320) 252-0233.

Contact Information

Primary practice address
1528 Northway Dr Saint Cloud MN 56303-1255
Fax: (320) 252-1421
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 51891 Minnesota

Profile Details

NPI number 1588828206
LBN Legal business name Dearking, Amy Corinne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2008
Last updated Dec 28th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588828206 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID ENROLLED
Iowa Other P01173520

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