Dunham, Madison Anne
Dunham, Madison Anne is an individual health care provider with primary practice located at 112 Ne Crescent Ave , Peoria IL 61606-1901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dunham, Madison Anne can be contacted via phone (309) 672-4670.Contact Information
Primary practice address
112 Ne Crescent Ave
Peoria IL 61606-1901
Phone: (309) 672-4670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 209028486 | Illinois |
Profile Details
| NPI number | 1568244994 |
|---|---|
| LBN Legal business name | Dunham, Madison Anne |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2023 |
| Last updated | Oct 19th, 2023 - about last year |
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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