Mestemaker, Amy L
Mestemaker, Amy L is an individual health care provider with primary practice located at 825 W Market St Ste 260 , Lima OH 45805-2745. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Mestemaker, Amy L can be contacted via phone (419) 226-9819.Contact Information
Primary practice address
825 W Market St Ste 260
Lima OH 45805-2745
Phone: (419) 226-9819
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-06-6657 | Ohio |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 35.066657 | Ohio |
Profile Details
NPI number | 1831180959 |
---|---|
LBN Legal business name | Mestemaker, Amy L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2005 |
Last updated | Aug 1st, 2023 - about last month |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831180959 | NPPES |
Ohio | MEDICAID | 0221325 |
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