Dave, Amarish A
Dave, Amarish A is an individual health care provider with primary practice located at 2000 Lake Ave , Woodstock IL 60098-7401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dave, Amarish A can be contacted via phone (815) 337-7100.Contact Information
Primary practice address
2000 Lake Ave
Woodstock IL 60098-7401
Phone: (815) 337-7100
Fax: (815) 337-4793
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-107107 | Illinois |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 47146 | Wisconsin |
Profile Details
NPI number | 1891877213 |
---|---|
LBN Legal business name | Dave, Amarish A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2006 |
Last updated | Feb 7th, 2017 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891877213 | NPPES |
Illinois | MEDICAID | 036107107 1 | |
Illinois | Other | DAVEAMA | |
Illinois | MEDICAID | 1891877213 | |
Illinois | MEDICAID | 43516100 |
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