Provider Demographics
NPI:1184819351
Name:BROWNE, AMY D (DO)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:D
Last Name:BROWNE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:257 BENEDICT AVE
Mailing Address - Street 2:BUILDING C SUITE 1
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2715
Mailing Address - Country:US
Mailing Address - Phone:419-668-1101
Mailing Address - Fax:419-668-1191
Practice Address - Street 1:257 BENEDICT AVE
Practice Address - Street 2:BUILDING C SUITE 1
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2715
Practice Address - Country:US
Practice Address - Phone:419-668-1101
Practice Address - Fax:419-668-1191
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.009966207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3102181Medicaid
OH4305181Medicare PIN