Van De Wielle, Amy

Van De Wielle, Amy is an sole proprietor health care provider with primary practice located at 211 N Eddy St , South Bend IN 46617-3096. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Van De Wielle, Amy can be contacted via phone (574) 204-6522.

Contact Information

Primary practice address
211 N Eddy St South Bend IN 46617-3096
Phone: (574) 204-6522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1609362375 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704393829 Michigan

Profile Details

NPI number 1144953902
LBN Legal business name Van De Wielle, Amy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2022
Last updated Mar 8th, 2023 - about last year

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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