| Neurone, Pc | |
|
250 E Dunlap Ave Phoenix AZ 85020-2825 | |
| (602) 315-9820 | |
| Not Available |
| Full Name | Neurone, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 250 E Dunlap Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Hossam Alhabach (DIRECTOR) |
| Authorized Official Contact | 6023159820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurone, Pc Po Box 64551 Phoenix AZ 85082-4551 Ph: (602) 315-9820 | Neurone, Pc 250 E Dunlap Ave Phoenix AZ 85020-2825 Ph: (602) 315-9820 |
| NPI Number | 1801430541 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Medicare PECOS PAC ID | 2769810340 |
|---|---|
| Medicare Enrollment ID | O20200313000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801430541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Hossam Alhabach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578527701 PECOS PAC ID: 8224066881 Enrollment ID: I20050803001032 |
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