Frakes, Amanda L

Frakes, Amanda L is an individual health care provider with primary practice located at 650 S Randall Rd , Algonquin IL 60102-5944. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Frakes, Amanda L can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
650 S Randall Rd Algonquin IL 60102-5944
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006483 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001053A Indiana

Profile Details

NPI number 1275727315
LBN Legal business name Frakes, Amanda L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Dec 13th, 2021 - about 4 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 1275727315 NPPES
Indiana Other 000000600746 ANTHEM
Indiana MEDICAID 300005114 ANTHEM
Indiana Other 085006483 ANTHEM
Indiana Other P01291690 ANTHEM

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