Littrell, Amy M
Littrell, Amy M is an sole proprietor health care provider with primary practice located at 450B Washington Jackson Rd Suite 104, Eaton OH 45320-7600. 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. Littrell, Amy M can be contacted via phone (937) 456-8340.Contact Information
Primary practice address
450B Washington Jackson Rd Suite 104
Eaton OH 45320-7600
Phone: (937) 456-8340
Fax: (937) 456-8341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1071818 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.002571 | Ohio |
Profile Details
| NPI number | 1760668180 |
|---|---|
| LBN Legal business name | Littrell, Amy M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2008 |
| Last updated | Jan 17th, 2019 - about 6 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 | 1760668180 | NPPES |
| Ohio | MEDICAID | 0517711 |
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