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:
Health care specialties
Specialty | Code | License # | 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 11 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 | 1164451266 | NPPES |
Maryland | MEDICAID | 151300100 |
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