Thrive Psychiatry Inc. | |
312 S Barstow St Eau Claire WI 54701-2881 | |
(816) 810-9841 | |
Not Available |
Full Name | Thrive Psychiatry Inc. |
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Speciality | Psychiatry & Neurology |
Location | 312 S Barstow St, Eau Claire, Wisconsin |
Authorized Official Name and Position | Brenda Kibola (OWNER) |
Authorized Official Contact | 8168109841 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thrive Psychiatry Inc. Po Box 473 Rice Lake WI 54868-0473 Ph: () - | Thrive Psychiatry Inc. 312 S Barstow St Eau Claire WI 54701-2881 Ph: (816) 810-9841 |
NPI Number | 1922726892 |
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Provider Enumeration Date | 08/17/2022 |
Last Update Date | 05/18/2023 |
Certification Date | 05/18/2023 |
Medicare PECOS PAC ID | 1850730433 |
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Medicare Enrollment ID | O20240416000441 |
Identifier | Type | State | Issuer |
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1922726892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Brenda Kibola |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1821415795 PECOS PAC ID: 1052662236 Enrollment ID: I20180927001118 |
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