| Peter Milota Llc | |
|
429 Front St Berea OH 44017-1716 | |
| (216) 299-7717 | |
| (440) 234-2072 |
| Full Name | Peter Milota Llc |
|---|---|
| Speciality | Social Worker |
| Location | 429 Front St, Berea, Ohio |
| Authorized Official Name and Position | Peter Milota (OWNER / LISW) |
| Authorized Official Contact | 2162997717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Milota Llc 429 Front St Berea OH 44017-1716 Ph: (216) 299-7717 | Peter Milota Llc 429 Front St Berea OH 44017-1716 Ph: (216) 299-7717 |
| NPI Number | 1871258616 |
|---|---|
| Provider Enumeration Date | 11/06/2021 |
| Last Update Date | 11/06/2021 |
| Certification Date | 11/06/2021 |
| Medicare PECOS PAC ID | 8224420914 |
|---|---|
| Medicare Enrollment ID | O20220107001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871258616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Peter Milota |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033641964 PECOS PAC ID: 8123410818 Enrollment ID: I20220107001653 |
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