Dusenberry, Amy Lynn

Dusenberry, Amy Lynn is an individual health care provider with primary practice located at 332 Santa Fe Dr Suite 110, Encinitas CA 92024-5143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dusenberry, Amy Lynn can be contacted via phone (760) 943-6700.

Contact Information

Primary practice address
332 Santa Fe Dr Suite 110 Encinitas CA 92024-5143
Phone: (760) 943-6700
Fax: (760) 632-4292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA17340 California

Profile Details

NPI number 1972696813
LBN Legal business name Dusenberry, Amy Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 21st, 2013 - about 11 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 1972696813 NPPES
California MEDICAID GR0093170
California Other 03-0431018
California Other ZZZ04918Z

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