Body And Soul Inc. | |
7810 Old York Rd Elkins Park PA 19027-2509 | |
(215) 782-2250 | |
(215) 782-2252 |
Full Name | Body And Soul Inc. |
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Speciality | Family Medicine |
Location | 7810 Old York Rd, Elkins Park, Pennsylvania |
Authorized Official Name and Position | Juliette E Louis-charles (PRESIDENT) |
Authorized Official Contact | 2157822250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Body And Soul Inc. 7810 Old York Rd Elkins Park PA 19027-2509 Ph: (215) 782-2250 | Body And Soul Inc. 7810 Old York Rd Elkins Park PA 19027-2509 Ph: (215) 782-2250 |
NPI Number | 1467474353 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 06/17/2011 |
Medicare PECOS PAC ID | 5799963872 |
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Medicare Enrollment ID | O20110620000097 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467474353 | NPI | - | NPPES |
0015389860005 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS008290L (Pennsylvania) | Primary |
Provider Name | Juliette Elizabeth Louis-charles |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740216563 PECOS PAC ID: 6608054788 Enrollment ID: I20110620000110 |
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