Berger, Amanda M

Berger, Amanda M is an sole proprietor health care provider with primary practice located at 350 N Wall St Dept Of Anesthesia, Kankakee IL 60901-2901. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Berger, Amanda M can be contacted via phone (815) 933-1671.

Contact Information

Primary practice address
350 N Wall St Dept Of Anesthesia Kankakee IL 60901-2901
Phone: (815) 933-1671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.368295 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.011212 Illinois

Profile Details

NPI number 1750704797
LBN Legal business name Berger, Amanda M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2014
Last updated Sep 23rd, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750704797 NPPES
Illinois Other 93260 AANA

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