| Rachel M Sparn Llc | |
|
2810 Mack Rd Fairfield OH 45014-5130 | |
| (716) 572-3076 | |
| Not Available |
| Full Name | Rachel M Sparn Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2810 Mack Rd, Fairfield, Ohio |
| Authorized Official Name and Position | Rachel Sparn (OWNER) |
| Authorized Official Contact | 7165723076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel M Sparn Llc 2810 Mack Rd Fairfield OH 45014-5130 Ph: () - | Rachel M Sparn Llc 2810 Mack Rd Fairfield OH 45014-5130 Ph: (716) 572-3076 |
| NPI Number | 1558805713 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558805713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 7517 (Ohio) | Primary |
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