| Aesthetic Reconstructive Tattoos Of Ohio | |
|
1834 Oakland Ave Portsmouth OH 45662-2934 | |
| (740) 244-8266 | |
| Not Available |
| Full Name | Aesthetic Reconstructive Tattoos Of Ohio |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1834 Oakland Ave, Portsmouth, Ohio |
| Authorized Official Name and Position | Amy J Flinders (NURSE PRACTITIONER) |
| Authorized Official Contact | 7403574503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Reconstructive Tattoos Of Ohio 1834 Oakland Ave Portsmouth OH 45662-9310 Ph: (740) 244-8266 | Aesthetic Reconstructive Tattoos Of Ohio 1834 Oakland Ave Portsmouth OH 45662-2934 Ph: (740) 244-8266 |
| NPI Number | 1588038236 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588038236 | NPI | - | NPPES |
| 0089230 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | COA 14765-NP (Ohio) | Primary |
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