| C&b Well Llc | |
|
167 N Drake Rd # 19643 Kalamazoo MI 49009-1166 | |
| (269) 389-0262 | |
| Not Available |
| Full Name | C&b Well Llc |
|---|---|
| Speciality | Social Worker |
| Location | 167 N Drake Rd # 19643, Kalamazoo, Michigan |
| Authorized Official Name and Position | Carlos Adair Brown (CEO AND OWNER) |
| Authorized Official Contact | 2693890262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C&b Well Llc 167 N Drake Rd # 19643 Kalamazoo MI 49009-1166 Ph: (269) 389-0262 | C&b Well Llc 167 N Drake Rd # 19643 Kalamazoo MI 49009-1166 Ph: (269) 389-0262 |
| NPI Number | 1528786621 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Medicare PECOS PAC ID | 5698141828 |
|---|---|
| Medicare Enrollment ID | O20221013000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528786621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carlos Adair Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588110613 PECOS PAC ID: 6507232733 Enrollment ID: I20221013000905 |
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