Bush, Amanda Jo
Bush, Amanda Jo is an individual health care provider with primary practice located at 1700 Henry Luckow Ln , Belvidere IL 61008. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Bush, Amanda Jo can be contacted via phone (779) 696-8650.Contact Information
Primary practice address
1700 Henry Luckow Ln
Belvidere IL 61008
Phone: (779) 696-8650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | N3526 | Texas |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MB0755263A | Massachusetts |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 036.125964 | Illinois |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | N3526 | Texas |
Profile Details
| NPI number | 1093950941 |
|---|---|
| LBN Legal business name | Bush, Amanda Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2008 |
| Last updated | Jan 3rd, 2024 - about 2 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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