Healing Arts North Pllc | |
520 N Main St Ste 105 Cheboygan MI 49721-1171 | |
(989) 372-1493 | |
Not Available |
Full Name | Healing Arts North Pllc |
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Speciality | Social Worker |
Location | 520 N Main St Ste 105, Cheboygan, Michigan |
Authorized Official Name and Position | Joanne Lockey Sarrault (AGENCY DIRECTOR) |
Authorized Official Contact | 2314459010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Healing Arts North Pllc 520 N Main St Ste 105 Cheboygan MI 49721-1171 Ph: (989) 372-1493 | Healing Arts North Pllc 520 N Main St Ste 105 Cheboygan MI 49721-1171 Ph: (989) 372-1493 |
NPI Number | 1053930412 |
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Provider Enumeration Date | 04/15/2020 |
Last Update Date | 10/07/2020 |
Certification Date | 10/07/2020 |
Medicare PECOS PAC ID | 6800216284 |
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Medicare Enrollment ID | O20201023002549 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053930412 | NPI | - | NPPES |
1639664741 | Other | MI | INDIVIDUAL NPI |
6801103192 | Other | MI | PROFESSIONAL LIMITED LICENSE |
1639664741 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jessika E Doyle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225693922 PECOS PAC ID: 5395078133 Enrollment ID: I20190611000938 |
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