Shaffer, Amanda

Shaffer, Amanda is an individual health care provider with primary practice located at 1448 W Madison St Ste 1 , Chicago IL 60607-1822. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Shaffer, Amanda can be contacted via phone (773) 972-4535.

Contact Information

Primary practice address
1448 W Madison St Ste 1 Chicago IL 60607-1822
Phone: (773) 972-4535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 019032027 Illinois

Profile Details

NPI number 1962999276
LBN Legal business name Shaffer, Amanda
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2018
Last updated Dec 18th, 2023 - about 3 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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