Nathaniel Hollis, is a
Peer Specialist based in Cleveland, Ohio. Nathaniel Hollis is licensed to practice in Ohio (license number 01519) and his current practice location is
9424 Nelson Ave, Cleveland, Ohio. He can be reached at his office (for appointments etc.) via phone at
(216) 562-9767.
NPI number for Nathaniel Hollis is 1174163331 and his current mailing address is 1400 E 55th St, Cleveland, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174163331.
Healthcare Provider's Profile
| Full Name | Nathaniel Hollis |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
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| Location | 9424 Nelson Ave, Cleveland, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174163331
- Provider Enumeration Date: 01/15/2020
- Last Update Date: 12/08/2020
Medical Identifiers
Medical identifiers for Nathaniel Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174163331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | 01519 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathaniel Hollis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nathaniel Hollis,
1400 E 55th St,
Cleveland, OH 44103-1304
Ph: (216) 848-5428 | Nathaniel Hollis,
9424 Nelson Ave,
Cleveland, OH 44105-4059
Ph: (216) 562-9767 |
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