Hietala, Amy Susanne
Hietala, Amy Susanne is an sole proprietor health care provider with primary practice located at 215 N 2Nd St 201, River Falls WI 54022-3706. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Hietala, Amy Susanne can be contacted via phone (715) 425-6665.Contact Information
Primary practice address
215 N 2Nd St 201
River Falls WI 54022-3706
Phone: (715) 425-6665
Fax: (715) 425-6677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3470 | Wisconsin |
| Chiropractic Providers / Chiropractor | 111N00000X | MN3382 | Minnesota |
Profile Details
| NPI number | 1851473359 |
|---|---|
| LBN Legal business name | Hietala, Amy Susanne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jan 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851473359 | NPPES |
| Wisconsin | MEDICAID | 38925900 |
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