Maravelli, Ammie

Maravelli, Ammie is an individual health care provider with primary practice located at 667 Eastland Ave Se , Warren OH 44484-4503. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Maravelli, Ammie can be contacted via phone (330) 841-4029.

Contact Information

Primary practice address
667 Eastland Ave Se Warren OH 44484-4503
Fax: (330) 656-5901
Website:

Health care specialties

Profile Details

NPI number 1174554794
LBN Legal business name Maravelli, Ammie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174554794 NPPES
Ohio MEDICAID PENDING

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