Amy Indorf
Infectious Disease
1320 Mercy Dr Nw
Canton
, Ohio 44708-2614
Amy Indorf
Infectious Disease
1320 Mercy Dr Nw
Canton
, Ohio 44708-2614
(330) 580-4707
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Amy Indorf
- 1320 Mercy Dr Nw
- Canton, OH
- Zip : 44708-2614
- Fax : (330) 580-4707
- Phone : (330) 580-4706
Second Address
- Amy Indorf
- 1320 Mercy Dr Nw
- Canton, OH
- Zip : 44708-2614
- Fax : (330) 580-4707
- Phone : (330) 580-4706
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 35057637I | OH |
National Provider Identifier
| NPI | 1033295951 |
|---|---|
| Provider Name | Amy Indorf |
| First Address | Canton, OH 44708-2614 |
| Second Address | Canton, OH 44708-2614 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 01/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0997131 | (05) | OH |
| 1902827876 | GROUP NPI (01) | |
| 2157366 | GROUP MEDICAID (01) | OH |
| 9303389 | GROUP MEDICARE - MPCC (01) | OH |
| F81791 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.