| Ludwig J Aszod Pa | |
|
910 S Rogers St Ste C Clarksville AR 72830-4331 | |
| (479) 335-5747 | |
| (479) 957-9083 |
| Full Name | Ludwig J Aszod Pa |
|---|---|
| Speciality | Counselor |
| Location | 910 S Rogers St, Clarksville, Arkansas |
| Authorized Official Name and Position | Ludwig J Aszod (PRESIDENT) |
| Authorized Official Contact | 4797742131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ludwig J Aszod Pa 3012 West Main Street Clarksville AR 72830-8007 Ph: (479) 774-2131 | Ludwig J Aszod Pa 910 S Rogers St Ste C Clarksville AR 72830-4331 Ph: (479) 335-5747 |
| NPI Number | 1104586312 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Medicare PECOS PAC ID | 2668823089 |
|---|---|
| Medicare Enrollment ID | O20240112001974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104586312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Ludwig J Aszod |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396158564 PECOS PAC ID: 2163873282 Enrollment ID: I20240112002255 |
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