| Ecare Clinic | |
|
5820 N Canton Center Rd Ste 180 Canton MI 48187-2680 | |
| (877) 882-4480 | |
| (248) 800-7272 |
| Full Name | Ecare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5820 N Canton Center Rd Ste 180, Canton, Michigan |
| Authorized Official Name and Position | Manal Ccccccc (ADMIN) |
| Authorized Official Contact | 8778824480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecare Clinic 5820 N Canton Center Rd Ste 180 Canton MI 48187-2680 Ph: (877) 882-4480 | Ecare Clinic 5820 N Canton Center Rd Ste 180 Canton MI 48187-2680 Ph: (877) 882-4480 |
| NPI Number | 1134796824 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 5193127975 |
|---|---|
| Medicare Enrollment ID | O20210715004051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134796824 | NPI | - | NPPES |
| Provider Name | Lisa R Gnas |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1437318243 PECOS PAC ID: 7810063542 Enrollment ID: I20080904000179 |
| Provider Name | Ali Ghasham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881894459 PECOS PAC ID: 9931379864 Enrollment ID: I20110831000553 |
| Provider Name | Chimerebere Mirian Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891561288 PECOS PAC ID: 1254782584 Enrollment ID: I20240110004154 |
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