Lane, Amy
Lane, Amy is an individual health care provider with primary practice located at 9E Dr Osman Babson Road , Gloucester MA 01930-1812. 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. Lane, Amy can be contacted via phone (978) 890-7373.Contact Information
Primary practice address
9E Dr Osman Babson Road
Gloucester MA 01930-1812
Phone: (978) 890-7373
Fax: (978) 890-7372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA7689 | Massachusetts |
Profile Details
| NPI number | 1932717816 |
|---|---|
| LBN Legal business name | Lane, Amy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2020 |
| Last updated | Apr 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932717816 | NPPES |
| Massachusetts | MEDICAID | 110163493A |
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