Wilson, Amy C

Wilson, Amy C is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Wilson, Amy C can be contacted via phone (317) 944-2563.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 944-2563
Fax: (317) 222-2154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 01066854 Indiana

Profile Details

NPI number 1578770608
LBN Legal business name Wilson, Amy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Nov 13th, 2023 - about 2 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 1578770608 NPPES
Kentucky MEDICAID 7100316940
Kentucky MEDICAID 200966000
Kentucky MEDICAID 1578770608

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