Provider Demographics
NPI:1730613365
Name:DOWELL, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:DOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 E WOODROW AVE
Mailing Address - Street 2:APT. D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-2059
Mailing Address - Country:US
Mailing Address - Phone:336-500-5656
Mailing Address - Fax:
Practice Address - Street 1:630 E WOODROW AVE
Practice Address - Street 2:APT. D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-2059
Practice Address - Country:US
Practice Address - Phone:336-500-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist