Madenis, Amanda Devell

Madenis, Amanda Devell is an sole proprietor health care provider with primary practice located at 5111 N 2Nd St , Loves Park IL 61111-5001. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Madenis, Amanda Devell can be contacted via phone (815) 566-2432.

Contact Information

Primary practice address
5111 N 2Nd St Loves Park IL 61111-5001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X

Profile Details

NPI number 1598330995
LBN Legal business name Madenis, Amanda Devell
Credentials NHP, MW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2021
Last updated May 26th, 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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