Healthcare Provider Details

I. General information

NPI: 1215933742
Provider Name (Legal Business Name): AMI J ORR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 10/30/2020
Certification Date: 10/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 CHAPEL DR STE D
FINDLAY OH
45840-1344
US

IV. Provider business mailing address

1818 CHAPEL DR STE D
FINDLAY OH
45840-1344
US

V. Phone/Fax

Practice location:
  • Phone: 419-424-1922
  • Fax: 419-424-1927
Mailing address:
  • Phone: 419-424-1922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number65348
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: