SearchIndiana101YM0800X

Ami Fair

NPI 1104324821 · on the registry since 2018 · sole proprietor

Practice

Address
3220 E Jefferson Blvd
South Bend, IN 46615
Phone
(574) 222-2466
Organisation at this address
Dr Heather Holleman Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Additional practice sites

  • 1115 Ball Ave Ne, Grand Rapids, MI

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
221700000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana