Offutt, Amy L
Offutt, Amy L is an individual health care provider with primary practice located at 707 3Rd St , Marble Falls TX 78654-5720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Offutt, Amy L can be contacted via phone (830) 693-7546.Contact Information
Primary practice address
707 3Rd St
Marble Falls TX 78654-5720
Phone: (830) 693-7546
Fax: (830) 693-9194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K6491 | Texas |
Profile Details
| NPI number | 1891777314 |
|---|---|
| LBN Legal business name | Offutt, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Oct 3rd, 2011 - about 13 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 | 1891777314 | NPPES |
| Texas | Other | 132081100 | FIRSTCARE |
| Texas | MEDICAID | 143203103 | FIRSTCARE |
| Texas | MEDICAID | 143203102 | FIRSTCARE |
| Texas | Other | 8398K0 | FIRSTCARE |
| Texas | Other | 81392 | FIRSTCARE |
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