Greaves, Amy Lucas

Greaves, Amy Lucas is an individual health care provider with primary practice located at 137 Main St , Newport VT 05855-4415. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Greaves, Amy Lucas can be contacted via phone (802) 995-2412.

Contact Information

Primary practice address
137 Main St Newport VT 05855-4415
Phone: (802) 995-2412
Fax: (802) 334-7991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055.0031667 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0968 New Hampshire

Profile Details

NPI number 1245662535
LBN Legal business name Greaves, Amy Lucas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2013
Last updated Dec 4th, 2023 - about last year

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 1245662535 NPPES
Vermont Other 055.0031667 VT STATE LICENSE
Vermont Other 0968 VT STATE LICENSE

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