| Amazinggreys Senior Care Llc | |
|
30 N Lakeshore Dr Springboro OH 45066-8125 | |
| (937) 367-9407 | |
| Not Available |
| Full Name | Amazinggreys Senior Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 30 N Lakeshore Dr, Springboro, Ohio |
| Authorized Official Name and Position | Bobbi Jo Watson (NURSE PRACTITIONER) |
| Authorized Official Contact | 9373679407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazinggreys Senior Care Llc 30 N Lakeshore Dr Springboro OH 45066-8125 Ph: (937) 367-9407 | Amazinggreys Senior Care Llc 30 N Lakeshore Dr Springboro OH 45066-8125 Ph: (937) 367-9407 |
| NPI Number | 1669946307 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 1951642529 |
|---|---|
| Medicare Enrollment ID | O20190408002914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669946307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bobbi J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497023477 PECOS PAC ID: 9436318813 Enrollment ID: I20120302000598 |
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