Smith, Amanda Cathleen
Smith, Amanda Cathleen is an individual health care provider with primary practice located at 1 Kish Hospital Drive Suite 212, Dekalb IL 60115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Amanda Cathleen can be contacted via phone (815) 754-1190.Contact Information
Primary practice address
1 Kish Hospital Drive Suite 212
Dekalb IL 60115
Phone: (815) 754-1190
Fax: (815) 748-5846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.016106 | Illinois |
Profile Details
| NPI number | 1861914483 |
|---|---|
| LBN Legal business name | Smith, Amanda Cathleen |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2017 |
| Last updated | Jul 21st, 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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