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25 Inwood Rd, W Jefferson, OH 43162-1112 | |
(614) 879-5070 | |
(614) 879-5023 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 25 Inwood Rd, W Jefferson, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1255526026 | NPI | - | NPPES |
0975540 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 1750 (Ohio) | Primary |
Provider Name | Michael Kevin Monroe |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871595595 PECOS PAC ID: 2466540109 Enrollment ID: I20111206000855 |
Provider Name | Kristy Ellen Fleagane |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518969401 PECOS PAC ID: 5193982882 Enrollment ID: I20220721001142 |
Mailing Address | Practice Location Address |
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25 Inwood Rd, W Jefferson, OH 43162-1112 Ph: (614) 879-5070 | 25 Inwood Rd, W Jefferson, OH 43162-1112 Ph: (614) 879-5070 |