Neuro Care, Pllc | |
3050 Henderson Dr Jacksonville NC 28540 | |
(910) 939-4307 | |
Not Available |
Full Name | Neuro Care, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 3050 Henderson Dr, Jacksonville, North Carolina |
Authorized Official Name and Position | Michael David Hofmann (CEO/OWNER) |
Authorized Official Contact | 9109394307 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuro Care, Pllc 1250 Western Blvd Ste L2 - Pmb # 104 Jacksonville NC 28546-6748 Ph: (910) 939-4307 | Neuro Care, Pllc 3050 Henderson Dr Jacksonville NC 28540 Ph: (910) 939-4307 |
NPI Number | 1720401151 |
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Provider Enumeration Date | 01/21/2014 |
Last Update Date | 01/31/2014 |
Medicare PECOS PAC ID | 0840421020 |
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Medicare Enrollment ID | O20140401002065 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720401151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
Provider Name | Michael D Hofmann |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1003841271 PECOS PAC ID: 1658456066 Enrollment ID: I20120927000605 |
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