| |
741 Locust Avenue, Washington, PA 15301-2735 | |
(724) 906-4798 | |
(724) 918-9068 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 741 Locust Avenue, Washington, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780120501 | NPI | - | NPPES |
1962453696 | Other | PA | NPI (TYPE I) |
0016929680001 | Medicaid | PA | |
MD064028L | Other | PA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | PAK000186 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | MD064028L (Pennsylvania) | Primary |
Provider Name | Janine Kunigunde Rihmland |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962453696 PECOS PAC ID: 9931005584 Enrollment ID: I20031212000331 |
Provider Name | Bonita Rae Clayton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023172590 PECOS PAC ID: 5698951937 Enrollment ID: I20110520000333 |
Provider Name | Katelyn Michelle Nichilo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851077234 PECOS PAC ID: 5496196255 Enrollment ID: I20240510000046 |
Mailing Address | Practice Location Address |
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741 Locust Avenue, Washington, PA 15301-2735 Ph: (724) 906-4798 | 741 Locust Avenue, Washington, PA 15301-2735 Ph: (724) 906-4798 |