Lykes, Amy Elizabeth

Lykes, Amy Elizabeth is an sole proprietor health care provider with primary practice located at 1107 E Palmer St , Philadelphia PA 19125-4220. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Lykes, Amy Elizabeth can be contacted via phone (732) 822-0451.

Contact Information

Primary practice address
1107 E Palmer St Philadelphia PA 19125-4220
Phone: (732) 822-0451
Fax: (609) 581-7726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 953465 New Jersey

Profile Details

NPI number 1518109289
LBN Legal business name Lykes, Amy Elizabeth
Credentials RD, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2009
Last updated Jan 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518109289 NPPES
New Jersey MEDICAID 155560

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