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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831180959 NPPES
Ohio MEDICAID 0221325

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