| Claude W. Eggertsen, Phd, Pllc | |
|
288 S Main St Ste. 1 Romeo MI 48065-5133 | |
| (586) 752-0091 | |
| (586) 677-7809 |
| Full Name | Claude W. Eggertsen, Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 288 S Main St, Romeo, Michigan |
| Authorized Official Name and Position | Claude W. Eggertsen (PRESIDENT, OWNER) |
| Authorized Official Contact | 5867520091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claude W. Eggertsen, Phd, Pllc Po Box 747 Washington MI 48094-0747 Ph: (586) 752-0091 | Claude W. Eggertsen, Phd, Pllc 288 S Main St Ste. 1 Romeo MI 48065-5133 Ph: (586) 752-0091 |
| NPI Number | 1861613887 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6103835228 |
|---|---|
| Medicare Enrollment ID | O20060418000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861613887 | NPI | - | NPPES |
| Provider Name | Claude W Eggertsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235157512 PECOS PAC ID: 1557370673 Enrollment ID: I20060418000199 |
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