Krise Health Services Llc | |
4 Haddonfield Rd Ste 222 Cherry Hill NJ 08002-1467 | |
(215) 313-1989 | |
Not Available |
Full Name | Krise Health Services Llc |
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Speciality | Clinic/Center |
Location | 4 Haddonfield Rd Ste 222, Cherry Hill, New Jersey |
Authorized Official Name and Position | Chinyere Ubah (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4102135494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Krise Health Services Llc 127 Quiet Rd Sicklerville NJ 08081-5628 Ph: (609) 248-0155 | Krise Health Services Llc 4 Haddonfield Rd Ste 222 Cherry Hill NJ 08002-1467 Ph: (215) 313-1989 |
NPI Number | 1386340495 |
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Provider Enumeration Date | 02/01/2023 |
Last Update Date | 06/02/2023 |
Certification Date | 06/02/2023 |
Medicare PECOS PAC ID | 9133584998 |
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Medicare Enrollment ID | O20230501000057 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386340495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Chinyere Evangeline Ubah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770907784 PECOS PAC ID: 5991069460 Enrollment ID: I20180509000977 |
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