Smith, Amy Ann

Smith, Amy Ann is an individual health care provider with primary practice located at 550 Southland Dr , Decatur IL 62521-4080. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Smith, Amy Ann can be contacted via phone (217) 425-9264.

Contact Information

Primary practice address
550 Southland Dr Decatur IL 62521-4080
Phone: (217) 425-9264
Fax: (217) 425-5983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085005048 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5214 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005048 Illinois

Profile Details

NPI number 1174875223
LBN Legal business name Smith, Amy Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2012
Last updated Jan 13th, 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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