Henry, Amanda
Henry, Amanda is an sole proprietor health care provider with primary practice located at 260 E Congress Pkwy Suite C, Crystal Lake IL 60014-6235. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Henry, Amanda can be contacted via phone (815) 459-4847.Contact Information
Primary practice address
260 E Congress Pkwy Suite C
Crystal Lake IL 60014-6235
Phone: (815) 459-4847
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019029061 | Illinois |
Profile Details
| NPI number | 1982969770 |
|---|---|
| LBN Legal business name | Henry, Amanda |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2012 |
| Last updated | Jul 9th, 2012 - about 13 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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