Brazis, Amanda Laine

Brazis, Amanda Laine is an individual health care provider with primary practice located at 510 Lincoln Dr , Herrin IL 62948-6334. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Brazis, Amanda Laine can be contacted via phone (618) 997-3100.

Contact Information

Primary practice address
510 Lincoln Dr Herrin IL 62948-6334
Phone: (618) 997-3100
Fax: (618) 997-3616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016.005557 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016.005557 Illinois

Profile Details

NPI number 1528354602
LBN Legal business name Brazis, Amanda Laine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated Aug 18th, 2021 - 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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