Provider Demographics
NPI:1922797497
Name:ERMIE, LUKE WILLIAM
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:WILLIAM
Last Name:ERMIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1289 SUTTON PL
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5215
Mailing Address - Country:US
Mailing Address - Phone:419-704-9806
Mailing Address - Fax:
Practice Address - Street 1:1289 SUTTON PL
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5215
Practice Address - Country:US
Practice Address - Phone:419-704-9806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker