Kotansky, Amy D

Kotansky, Amy D is an individual health care provider with primary practice located at 5230 E Stop 11 Rd Ste 150 , Indianapolis IN 46237-6399. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kotansky, Amy D can be contacted via phone (317) 865-5904.

Contact Information

Primary practice address
5230 E Stop 11 Rd Ste 150 Indianapolis IN 46237-6399
Phone: (317) 865-5904
Fax: (317) 865-5321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 711259 Indiana
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37000390A Indiana

Profile Details

NPI number 1962413682
LBN Legal business name Kotansky, Amy D
Credentials MS, RD, CDCES, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 18th, 2023 - about 2 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 1962413682 NPPES
Indiana Other 37000390A LICENSE

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