| North Brook Llc | |
|
620 Bear Run Ln Ste D Lewis Center OH 43035-8299 | |
| (614) 706-5206 | |
| Not Available |
| Full Name | North Brook Llc |
|---|---|
| Speciality | General Practice |
| Location | 620 Bear Run Ln Ste D, Lewis Center, Ohio |
| Authorized Official Name and Position | Brian Dean (ADMINISTRATOR) |
| Authorized Official Contact | 6147065206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Brook Llc 620 Bear Run Ln Ste D Lewis Center OH 43035-8299 Ph: () - | North Brook Llc 620 Bear Run Ln Ste D Lewis Center OH 43035-8299 Ph: (614) 706-5206 |
| NPI Number | 1497237234 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497237234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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