Ladd Carrell, Tommi Amanda

Ladd Carrell, Tommi Amanda is an individual health care provider with primary practice located at 1197 Fortune Blvd Ste 1 , Shiloh IL 62269-7472. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ladd Carrell, Tommi Amanda can be contacted via phone (618) 997-5266.

Contact Information

Primary practice address
1197 Fortune Blvd Ste 1 Shiloh IL 62269-7472
Phone: (618) 997-5266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1982372587
LBN Legal business name Ladd Carrell, Tommi Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2021
Last updated Aug 31st, 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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