Lakritz, Amy C

Lakritz, Amy C is an individual health care provider with primary practice located at 4575 Stephens Cir Nw , Canton OH 44718-3629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lakritz, Amy C can be contacted via phone (330) 499-9944.

Contact Information

Primary practice address
4575 Stephens Cir Nw Canton OH 44718-3629
Phone: (330) 499-9944
Fax: (330) 499-3056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35069524 Ohio

Profile Details

NPI number 1811964380
LBN Legal business name Lakritz, Amy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Aug 18th, 2016 - about 8 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 1811964380 NPPES
Other 341834815 EMP. TAX I.D.
MEDICAID 0359759 EMP. TAX I.D.
MEDICAID 0277150 EMP. TAX I.D.

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