Mcclintock, Amy Colleen

Mcclintock, Amy Colleen is an individual health care provider with primary practice located at 2122 Troy Rd Ste 130 , Edwardsville IL 62025-2540. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mcclintock, Amy Colleen can be contacted via phone (618) 463-7600.

Contact Information

Primary practice address
2122 Troy Rd Ste 130 Edwardsville IL 62025-2540
Phone: (618) 463-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036159591 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 123806 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2015026147 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036159591 Illinois

Profile Details

NPI number 1073809141
LBN Legal business name Mcclintock, Amy Colleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated Jun 10th, 2022 - about 3 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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