Ellison, Amanda Marie

Ellison, Amanda Marie is an sole proprietor health care provider with primary practice located at 21000 Western Ave , Olympia Fields IL 60461-1935. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ellison, Amanda Marie can be contacted via phone (708) 898-9114.

Contact Information

Primary practice address
21000 Western Ave Olympia Fields IL 60461-1935
Phone: (708) 898-9114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.299127 Illinois

Profile Details

NPI number 1942800313
LBN Legal business name Ellison, Amanda Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2020
Last updated Oct 27th, 2020 - about 5 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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