Sisley, Amy Catherine

Sisley, Amy Catherine is an individual health care provider with primary practice located at 2799 W Grand Blvd Clara Ford Pavilion - Cfp117, Detroit MI 48202-2608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Sisley, Amy Catherine can be contacted via phone (313) 916-2101.

Contact Information

Primary practice address
2799 W Grand Blvd Clara Ford Pavilion - Cfp117 Detroit MI 48202-2608
Phone: (313) 916-2101
Fax: (313) 916-8007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D56445 Maryland
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X D56445 Maryland

Profile Details

NPI number 1164451266
LBN Legal business name Sisley, Amy Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Jan 22nd, 2013 - about 12 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 1164451266 NPPES
Maryland MEDICAID 151300100

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