Smith, Manda Shae
Smith, Manda Shae is an individual health care provider with primary practice located at 800 W Central Rd , Arlington Heights IL 60005-2349. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Smith, Manda Shae can be contacted via phone (847) 618-1000.Contact Information
Primary practice address
800 W Central Rd
Arlington Heights IL 60005-2349
Phone: (847) 618-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209019533 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209019533 | Illinois |
Profile Details
NPI number | 1457911562 |
---|---|
LBN Legal business name | Smith, Manda Shae |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2019 |
Last updated | Jun 20th, 2019 - about 6 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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