| Dbowersmft, Ltd. | |
|
1120 Polaris Pkwy Ste 204 Columbus OH 43240-4042 | |
| (614) 347-9837 | |
| (614) 559-9758 |
| Full Name | Dbowersmft, Ltd. |
|---|---|
| Speciality | Counselor |
| Location | 1120 Polaris Pkwy Ste 204, Columbus, Ohio |
| Authorized Official Name and Position | David D Bowers (OWNER) |
| Authorized Official Contact | 6143479837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbowersmft, Ltd. 314 E Fulton St Apt C Columbus OH 43215-5431 Ph: (614) 347-9837 | Dbowersmft, Ltd. 1120 Polaris Pkwy Ste 204 Columbus OH 43240-4042 Ph: (614) 347-9837 |
| NPI Number | 1609490721 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 4183068141 |
|---|---|
| Medicare Enrollment ID | O20240216004157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609490721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kerri L Pearch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942662010 PECOS PAC ID: 8426340159 Enrollment ID: I20160715001657 |
| Provider Name | David Bowers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841752540 PECOS PAC ID: 5092159053 Enrollment ID: I20240216004193 |
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