Basic Information
Provider Information
NPI: 1013328483
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOCHIMS
FirstName: AMY
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 116 E 11TH ST STE 101
Address2:  
City: SPENCER
State: IA
PostalCode: 513014365
CountryCode: US
TelephoneNumber: 7122643581
FaxNumber: 9703462774
Practice Location
Address1: 116 E 11TH ST STE 101
Address2:  
City: SPENCER
State: IA
PostalCode: 513014365
CountryCode: US
TelephoneNumber: 7122643581
FaxNumber: 7122643509
Other Information
ProviderEnumerationDate: 05/19/2014
LastUpdateDate: 08/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XTL0005134COY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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