Smith, Amanda

Smith, Amanda is an sole proprietor health care provider with primary practice located at 344 S Carol Ave , Morton IL 61550-1902. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Smith, Amanda can be contacted via phone (630) 854-0455.

Contact Information

Primary practice address
344 S Carol Ave Morton IL 61550-1902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-309982 Illinois

Profile Details

NPI number 1144062936
LBN Legal business name Smith, Amanda
Credentials IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2024
Last updated Jun 11th, 2024 - about last year

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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