| Omnibus | |
|
2055 Anderson Rd Davis CA 95616-0672 | |
| (530) 758-1580 | |
| (530) 758-9869 |
| Full Name | Omnibus |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 2055 Anderson Rd, Davis, California |
| Authorized Official Name and Position | Jerry L Plummer (MANAGING PARTNER) |
| Authorized Official Contact | 5307581580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omnibus Po Box 483 Davis CA 95617-0483 Ph: (530) 758-1580 | Omnibus 2055 Anderson Rd Davis CA 95616-0672 Ph: (530) 758-1580 |
| NPI Number | 1295738755 |
|---|---|
| Provider Enumeration Date | 05/27/2005 |
| Last Update Date | 08/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295738755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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