Doyle, Amanda

Doyle, Amanda is an individual health care provider with primary practice located at 304 Randall Rd , Geneva IL 60134-4200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as her primary health care specialty. Doyle, Amanda can be contacted via phone (630) 232-0610.

Contact Information

Primary practice address
304 Randall Rd Geneva IL 60134-4200
Fax: (630) 352-5499
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 041430219 Illinois

Profile Details

NPI number 1396120754
LBN Legal business name Doyle, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2015
Last updated Dec 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396120754 NPPES
Illinois Other 206147 MEDICARE PTAN GROUP
Illinois Other F400235480 MEDICARE PTAN GROUP

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