Gottschalk, Amy L

Gottschalk, Amy L is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Gottschalk, Amy L can be contacted via phone (928) 639-6150.

Contact Information

Primary practice address
269 S Candy Ln Cottonwood AZ 86326-4158
Fax: (928) 639-6561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36144 Arizona

Profile Details

NPI number 1386797538
LBN Legal business name Gottschalk, Amy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Dec 18th, 2015 - about 9 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 1386797538 NPPES
Arizona MEDICAID 196647

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