| Doctor Name: | CHARLES M AMMON |
| NPI Number: | 1306158944 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | COA.11984-NP |
| Business Practice Address: | 148 Main St Wintersville, OH - 439533734 |
| Business Phone Number: | 7403462702 |
| Business Fax Number: | 7403462645 |
| Mailing Address: | 557 Wells Hollow Rd, WELLSVILLE |
| State: | OH |
| Postal Code: | 439681746 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2010 |
| NPI Last Update Date: | 06/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.11984-NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |