| Beacon Orthopaedics & Sports Medicine, Ltd | |
|
720 Elm St Wilmington OH 45177-2476 | |
| (513) 655-5758 | |
| Not Available |
| Full Name | Beacon Orthopaedics & Sports Medicine, Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 720 Elm St, Wilmington, Ohio |
| Authorized Official Name and Position | Peter Cha (PRESIDENT) |
| Authorized Official Contact | 5136555758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Orthopaedics & Sports Medicine, Ltd 500 E Business Way Cincinnati OH 45241-2374 Ph: () - | Beacon Orthopaedics & Sports Medicine, Ltd 720 Elm St Wilmington OH 45177-2476 Ph: (513) 655-5758 |
| NPI Number | 1962879635 |
|---|---|
| Provider Enumeration Date | 08/28/2015 |
| Last Update Date | 09/22/2015 |
| Medicare PECOS PAC ID | 0345136412 |
|---|---|
| Medicare Enrollment ID | O20150924002643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962879635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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