Provider Demographics
NPI:1114220712
Name:AMER, AMRO (CNIM)
Entity Type:Individual
Prefix:
First Name:AMRO
Middle Name:
Last Name:AMER
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:13109 DOGWOOD FOREST CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-1995
Mailing Address - Country:US
Mailing Address - Phone:502-509-1046
Mailing Address - Fax:
Practice Address - Street 1:200 E GRAY ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2012
Practice Address - Country:US
Practice Address - Phone:502-509-1046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1467755066Medicaid