Regen Med Llc | |
706 Stevenson Blvd, New Kensington, PA 15068-5371 | |
(724) 335-5210 | |
Not Available |
Full Name | Regen Med Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 706 Stevenson Blvd, New Kensington, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982377917 | NPI | - | NPPES |
712021 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Timothy M Coleman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477697035 PECOS PAC ID: 0244254811 Enrollment ID: I20060123000239 |
Provider Name | Sandra K Majocha |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073887618 PECOS PAC ID: 4082876180 Enrollment ID: I20120508000183 |
Mailing Address | Practice Location Address |
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Regen Med Llc 706 Stevenson Blvd, New Kensington, PA 15068-5371 Ph: (724) 335-5210 | Regen Med Llc 706 Stevenson Blvd, New Kensington, PA 15068-5371 Ph: (724) 335-5210 |
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