| Ikron Corporation | |
|
2347 Vine St Cincinnati OH 45219-1745 | |
| (513) 621-1117 | |
| (513) 621-2350 |
| Full Name | Ikron Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2347 Vine St, Cincinnati, Ohio |
| Authorized Official Name and Position | David C James (MIS COORDINATOR/ CRO) |
| Authorized Official Contact | 5136211117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikron Corporation 2347 Vine St Cincinnati OH 45219-1745 Ph: (513) 621-1117 | Ikron Corporation 2347 Vine St Cincinnati OH 45219-1745 Ph: (513) 621-1117 |
| NPI Number | 1033471792 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 06/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033471792 | NPI | - | NPPES |
| 2916929 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6691 (Ohio) | Primary |
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