Heneisen, Amy Lynn
Heneisen, Amy Lynn is an individual health care provider with primary practice located at 1402 E County Line Rd , Indianapolis IN 46227-0963. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Heneisen, Amy Lynn can be contacted via phone (317) 887-7000.Contact Information
Primary practice address
1402 E County Line Rd
Indianapolis IN 46227-0963
Phone: (317) 887-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01049007A | Indiana |
Profile Details
| NPI number | 1265407357 |
|---|---|
| LBN Legal business name | Heneisen, Amy Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Dec 3rd, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265407357 | NPPES |
| Indiana | MEDICAID | 200284090 |
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