Elsass, Amy L
Elsass, Amy L is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 350, Marietta GA 30060-1155. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Elsass, Amy L can be contacted via phone (770) 424-6893.Contact Information
Primary practice address
55 Whitcher St Ne Suite 350
Marietta GA 30060-1155
Phone: (770) 424-6893
Fax: (770) 528-9938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 063188 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 063188 | Georgia |
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | 063188 | Georgia |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 063188 | Georgia |
Profile Details
| NPI number | 1902004708 |
|---|---|
| LBN Legal business name | Elsass, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Nov 5th, 2019 - about 5 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 | 1902004708 | NPPES |
| Georgia | MEDICAID | 316796310S | |
| Georgia | MEDICAID | 316796310U | |
| Georgia | MEDICAID | 316796310V | |
| Georgia | MEDICAID | 316796310T |
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