Glick, Amy L

Glick, Amy L is an individual health care provider with primary practice located at 420 Saybrook Rd Ste A , Middletown CT 06457-4747. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Glick, Amy L can be contacted via phone (860) 636-2010.

Contact Information

Primary practice address
420 Saybrook Rd Ste A Middletown CT 06457-4747
Phone: (860) 636-2010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 003708 Connecticut

Profile Details

NPI number 1588846323
LBN Legal business name Glick, Amy L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2007
Last updated Mar 3rd, 2020 - about 4 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 1588846323 NPPES
Connecticut MEDICAID 004235918
Connecticut MEDICAID 004235900
Connecticut MEDICAID 004128361

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