Healthcare Provider Details

I. General information

NPI: 1114869781
Provider Name (Legal Business Name): AMY ENSING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 ALBERT SABIN WAY RM 6504
CINCINNATI OH
45267-2827
US

IV. Provider business mailing address

5018 BIRKDALE DR
ANN ARBOR MI
48103-9743
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-4152
  • Fax: 513-558-5203
Mailing address:
  • Phone: 734-353-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: