Allan Weisbard L.c.s.w. Llc | |
320 E Main St Ste 203 Ashland OR 97520-6800 | |
(541) 821-1083 | |
Not Available |
Full Name | Allan Weisbard L.c.s.w. Llc |
---|---|
Speciality | Social Worker |
Location | 320 E Main St, Ashland, Oregon |
Authorized Official Name and Position | Allan Weisbard (OWNER) |
Authorized Official Contact | 5418211083 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allan Weisbard L.c.s.w. Llc Po Box 1175 Ashland OR 97520-0040 Ph: (541) 821-1083 | Allan Weisbard L.c.s.w. Llc 320 E Main St Ste 203 Ashland OR 97520-6800 Ph: (541) 821-1083 |
NPI Number | 1467741595 |
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Provider Enumeration Date | 03/29/2011 |
Last Update Date | 03/29/2011 |
Medicare PECOS PAC ID | 3274717392 |
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Medicare Enrollment ID | O20110413000758 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467741595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1923 (Oregon) | Primary |
Provider Name | Allan H Weisbard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871694984 PECOS PAC ID: 3971531518 Enrollment ID: I20050803000890 |
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