MEDICARE: AMBER DOWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1730613365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER DOWELL

Provider Business Mailing Address
First Line	:	630 E WOODROW AVE
Second Line	:	APT. D
City	:	COLUMBUS
State	:	OH
Zip	:	43207-2059
Country	:	US
Telephone Number	:	336-500-5656
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 E WOODROW AVE
Second Line	:	APT. D
City	:	COLUMBUS
State	:	OH
Zip	:	43207-2059
Country	:	US
Telephone Number	:	336-500-5656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2017
Last Update Date	:	04/20/2017

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Directions to “ AMBER DOWELL ” Practice Location

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