Boo, Amanda Susan

Boo, Amanda Susan is an sole proprietor health care provider with primary practice located at 2910 Harlem Ave , Riverside IL 60546-1785. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boo, Amanda Susan can be contacted via phone (708) 447-4267.

Contact Information

Primary practice address
2910 Harlem Ave Riverside IL 60546-1785
Phone: (708) 447-4267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085006069 Illinois

Profile Details

NPI number 1558813907
LBN Legal business name Boo, Amanda Susan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2016
Last updated Nov 2nd, 2016 - about 8 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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