Avellone, Amanda E

Avellone, Amanda E is an sole proprietor health care provider with primary practice located at 1390 Highway 61 Ste 2300, Festus MO 63028-4121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Avellone, Amanda E can be contacted via phone (636) 937-3121.

Contact Information

Primary practice address
1390 Highway 61 Ste 2300 Festus MO 63028-4121
Phone: (636) 937-3121
Fax: (636) 937-4423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2004030200 Missouri

Profile Details

NPI number 1154325082
LBN Legal business name Avellone, Amanda E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Jan 14th, 2021 - about 4 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 1154325082 NPPES
Missouri MEDICAID 207306903
Missouri Other P00229439

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