Southard, Amy L

Southard, Amy L is an individual health care provider with primary practice located at 60 Maple Road , Williamsville NY 14221-2917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Southard, Amy L can be contacted via phone (716) 626-5250.

Contact Information

Primary practice address
60 Maple Road Williamsville NY 14221-2917
Fax: (716) 332-2218
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3308631 New York

Profile Details

NPI number 1609830942
LBN Legal business name Southard, Amy L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 9th, 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 1609830942 NPPES
New York Other 00026499401 UNIVERA
New York Other 9512030 UNIVERA
New York Other 040511000415 UNIVERA
New York Other 000560074006 UNIVERA

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