| Ecare Psychiatric Services Pllc | |
|
1125 W Woodruff Ave Toledo OH 43606-4853 | |
| (509) 606-4430 | |
| Not Available |
| Full Name | Ecare Psychiatric Services Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1125 W Woodruff Ave, Toledo, Ohio |
| Authorized Official Name and Position | Erica Johnson (OWNER) |
| Authorized Official Contact | 4192508957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecare Psychiatric Services Pllc 4730 University Way Ne Ste 104 Seattle WA 98105-4424 Ph: (509) 606-4430 | Ecare Psychiatric Services Pllc 1125 W Woodruff Ave Toledo OH 43606-4853 Ph: (509) 606-4430 |
| NPI Number | 1104494475 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 9436557899 |
|---|---|
| Medicare Enrollment ID | O20211015000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104494475 | NPI | - | NPPES |
| Provider Name | Erica L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336395706 PECOS PAC ID: 4486081049 Enrollment ID: I20200221000494 |
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