Wilcoxon, Amy Lynn

Wilcoxon, Amy Lynn is an individual health care provider with primary practice located at 1600 Rockland Road Aidhc Nutrition Services, Wilmington DE 19803-3607. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Wilcoxon, Amy Lynn can be contacted via phone (302) 651-4200.

Contact Information

Primary practice address
1600 Rockland Road Aidhc Nutrition Services Wilmington DE 19803-3607
Phone: (302) 651-4200
Fax: (302) 651-4737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN0000351 Delaware
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DN0000351 Delaware

Profile Details

NPI number 1790918928
LBN Legal business name Wilcoxon, Amy Lynn
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2009
Last updated Jan 5th, 2012 - 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 1790918928 NPPES
Maryland MEDICAID 418570600

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