Maddox, Amanda

Maddox, Amanda is an individual health care provider with primary practice located at 2500 W Reynolds St , Pontiac IL 61764-9774. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Maddox, Amanda can be contacted via phone (815) 842-2828.

Contact Information

Primary practice address
2500 W Reynolds St Pontiac IL 61764-9774
Phone: (815) 842-2828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.438522 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209025828 Illinois

Profile Details

NPI number 1477286615
LBN Legal business name Maddox, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2022
Last updated Sep 13th, 2022 - 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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