Wielkopolan, Amy R

Wielkopolan, Amy R is an sole proprietor health care provider with primary practice located at 4370 Crepe Myrtle Ct Unit A , Murrells Inlet SC 29576-4307. She recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as her primary health care specialty. Wielkopolan, Amy R can be contacted via phone (843) 504-2905.

Contact Information

Primary practice address
4370 Crepe Myrtle Ct Unit A Murrells Inlet SC 29576-4307
Phone: (843) 504-2905
Fax: (000) 000-0000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 3663 South Carolina

Profile Details

NPI number 1790849453
LBN Legal business name Wielkopolan, Amy R
Credentials LMBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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