Allen, Amanda D

Allen, Amanda D is an individual health care provider with primary practice located at 1418 Cross St Div Im Medical Oncology, Ste 180, Shiloh IL 62269-2914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Allen, Amanda D can be contacted via phone (800) 647-2098.

Contact Information

Primary practice address
1418 Cross St Div Im Medical Oncology, Ste 180 Shiloh IL 62269-2914
Phone: (800) 647-2098
Fax: (314) 362-3192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209026073 Illinois

Profile Details

NPI number 1346999315
LBN Legal business name Allen, Amanda D
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2022
Last updated Nov 8th, 2023 - about last year

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 1346999315 NPPES
Missouri MEDICAID 420108279

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