Trout, Amy Lee
Trout, Amy Lee is an individual health care provider with primary practice located at 19550 E 39Th St S Ste 300, Independence MO 64057-2303. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Trout, Amy Lee can be contacted via phone (816) 478-0220.Contact Information
Primary practice address
19550 E 39Th St S Ste 300
Independence MO 64057-2303
Phone: (816) 478-0220
Fax: (816) 795-3456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2000150992 | Missouri |
Profile Details
| NPI number | 1073515367 |
|---|---|
| LBN Legal business name | Trout, Amy Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Apr 2nd, 2009 - 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 | 1073515367 | NPPES |
| Missouri | MEDICAID | 204988703 |
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