Senior Outreach Services Inc | |
4996 Ridgewood Rd Traverse City MI 49686-9754 | |
(800) 671-1767 | |
Not Available |
Full Name | Senior Outreach Services Inc |
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Speciality | Social Worker |
Location | 4996 Ridgewood Rd, Traverse City, Michigan |
Authorized Official Name and Position | Julie B. Loncar (PRESIDENT) |
Authorized Official Contact | 8006711767 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Senior Outreach Services Inc Po Box 97 Old Mission MI 49673-0097 Ph: (800) 671-1767 | Senior Outreach Services Inc 4996 Ridgewood Rd Traverse City MI 49686-9754 Ph: (800) 671-1767 |
NPI Number | 1033375720 |
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Provider Enumeration Date | 08/01/2008 |
Last Update Date | 12/15/2022 |
Certification Date | 12/15/2022 |
Medicare PECOS PAC ID | 5092720581 |
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Medicare Enrollment ID | O20060221000339 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033375720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801057797 (Michigan) | Primary |
Provider Name | Julie B Loncar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235395609 PECOS PAC ID: 9335177120 Enrollment ID: I20050802001070 |
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