Prince, Amy Myrl

Prince, Amy Myrl is an individual health care provider with primary practice located at 1000 Lincoln St Ste 101 , Fort Morgan CO 80701-3290. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Prince, Amy Myrl can be contacted via phone (970) 542-4466.

Contact Information

Primary practice address
1000 Lincoln St Ste 101 Fort Morgan CO 80701-3290
Phone: (970) 542-4466
Fax: (970) 867-4913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X DR.0055211 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2010019730 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 05-33934 Kansas
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X DR.0055211 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DR.0055211 Colorado

Profile Details

NPI number 1972700193
LBN Legal business name Prince, Amy Myrl
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Mar 17th, 2018 - 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 1972700193 NPPES
Colorado MEDICAID 69050015

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