| Jane Broering Ammons | |
|
7429 International Dr #2 Holland OH 43528 | |
| (419) 866-8232 | |
| (419) 866-8233 |
| Full Name | Jane Broering Ammons |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7429 International Dr, Holland, Ohio |
| Authorized Official Name and Position | Jane A Broering Ammons (OWNER) |
| Authorized Official Contact | 4198668232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Broering Ammons 7429 International Dr #2 Holland OH 43528 Ph: (419) 866-8232 | Jane Broering Ammons 7429 International Dr #2 Holland OH 43528 Ph: (419) 866-8232 |
| NPI Number | 1154541118 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154541118 | NPI | - | NPPES |
| 0163255 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35064493 (Ohio) | Primary |
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