| J Mark Oshea Inc | |
|
4906 Millridge Pkwy E Midlothian VA 23112-4828 | |
| (804) 744-5611 | |
| (804) 739-1691 |
| Full Name | J Mark Oshea Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4906 Millridge Pkwy E, Midlothian, Virginia |
| Authorized Official Name and Position | J. Mark O'shea (LCSW) |
| Authorized Official Contact | 8047445611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Mark Oshea Inc 4906 Millridge Pkwy E Midlothian VA 23112-4828 Ph: (804) 744-5611 | J Mark Oshea Inc 4906 Millridge Pkwy E Midlothian VA 23112-4828 Ph: (804) 744-5611 |
| NPI Number | 1720237266 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 09/09/2008 |
| Medicare PECOS PAC ID | 6305732231 |
|---|---|
| Medicare Enrollment ID | O20040226000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720237266 | NPI | - | NPPES |
| 010026997 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904001638 (Virginia) | Primary |
| Provider Name | John M Oshea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558380758 PECOS PAC ID: 0840186763 Enrollment ID: I20040226000328 |
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