Provider Demographics
NPI:1699973073
Name:ROHRS, HEATHER MARIE (PA)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MARIE
Last Name:ROHRS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 E INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-2826
Mailing Address - Country:US
Mailing Address - Phone:419-893-9230
Mailing Address - Fax:419-893-6912
Practice Address - Street 1:111 CLINTON ST
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-2811
Practice Address - Country:US
Practice Address - Phone:419-893-7671
Practice Address - Fax:419-893-0314
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601004442363AM0700X
OH50.002234363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5601004442OtherPHYSICIAN ASSISTANT ID
OH50.002234OtherPHYSICIAN ASSITANT ID
OH50.002234OtherPHYSICIAN ASSITANT ID