Amy Elizabeth St.Clair
Individual provider Active NPI Homemaker · Marblehead, OH
NPI 1083201628 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1083201628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 302 James St
Marblehead, OH 43440-2121 - Phone
- (419) 230-2018
- NPI assigned
- Dec 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
302 James St
Marblehead, OH 43440-2121
Mailing address
302 James St
Marblehead, OH 43440-2121
Phone (419) 230-2018
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6200462 | Medicaid | OH |
Other providers in Marblehead, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.