Renfrow, Amy
Renfrow, Amy is an individual health care provider with primary practice located at 13327 Vitiano Ct , Fort Wayne IN 46845-8874. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Renfrow, Amy can be contacted via phone (260) 338-0876.Contact Information
Primary practice address
13327 Vitiano Ct
Fort Wayne IN 46845-8874
Phone: (260) 338-0876
Fax: (260) 484-3969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22004447A | Indiana |
Profile Details
| NPI number | 1649445230 |
|---|---|
| LBN Legal business name | Renfrow, Amy |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Apr 24th, 2008 - about 16 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 | 1649445230 | NPPES |
| Indiana | Other | 22004447A | STATE LICENCE |
| Indiana | Other | 200872140 | STATE LICENCE |
| Indiana | MEDICAID | 200872140 | STATE LICENCE |
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