Klok, Amy Elizabeth

Klok, Amy Elizabeth is an individual health care provider with primary practice located at 3300 W Centre Ave , Portage MI 49024-4666. 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. Klok, Amy Elizabeth can be contacted via phone (269) 324-8950.

Contact Information

Primary practice address
3300 W Centre Ave Portage MI 49024-4666
Phone: (269) 324-8950
Fax: (269) 324-2134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005579 Michigan

Profile Details

NPI number 1154654010
LBN Legal business name Klok, Amy Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Nov 27th, 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 1154654010 NPPES
Michigan Other 363A00000X TAXONOMY
Michigan Other 5601005579 TAXONOMY

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