Organization
JANE BROERING AMMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE A BROERING AMMONS (OWNER)
(419) 866-8232
Entity
Organization
Contact information
Practice address
7429 INTERNATIONAL DR, #2, HOLLAND, OH 43528
(419) 866-8232
(419) 866-8233
Mailing address
7429 INTERNATIONAL DR, #2, HOLLAND, OH 43528
(419) 866-8232
(419) 866-8233
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35064493
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163255
—
OH
Enumeration date
05/01/2007
Last updated
08/05/2008
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