Christison, Amy
Christison, Amy is an individual health care provider with primary practice located at 7801 N Knoxville Ave , Peoria IL 61614-2076. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Christison, Amy can be contacted via phone (309) 692-6088.Contact Information
Primary practice address
7801 N Knoxville Ave
Peoria IL 61614-2076
Phone: (309) 692-6088
Fax: (309) 692-0502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Illinois |
Profile Details
| NPI number | 1720029267 |
|---|---|
| LBN Legal business name | Christison, Amy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720029267 | NPPES |
| Illinois | MEDICAID | 0360802051 | |
| Illinois | Other | 472310 | |
| Illinois | Other | 7215059 | |
| Illinois | Other | 008433 | |
| Illinois | Other | IL0112 |
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