| Oaktree Associates Inc | |
|
7734 S 8th St Kalamazoo MI 49009-9796 | |
| (269) 372-9658 | |
| (269) 743-1000 |
| Full Name | Oaktree Associates Inc |
|---|---|
| Speciality | Social Worker |
| Location | 7734 S 8th St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Gary L Thompson (OWNER) |
| Authorized Official Contact | 2693729658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaktree Associates Inc 7734 S 8th St Kalamazoo MI 49009-9796 Ph: (269) 372-9658 | Oaktree Associates Inc 7734 S 8th St Kalamazoo MI 49009-9796 Ph: (269) 372-9658 |
| NPI Number | 1932538063 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 11/08/2013 |
| Medicare PECOS PAC ID | 6901161777 |
|---|---|
| Medicare Enrollment ID | O20180525001468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932538063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801096260 (Michigan) | Primary |
| Provider Name | Gary Lee Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578591806 PECOS PAC ID: 7719242585 Enrollment ID: I20180525001532 |
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