| Bowersox Wound Care Llc | |
|
6966 Heisley Rd Ste F Mentor OH 44060-4593 | |
| (440) 488-4575 | |
| Not Available |
| Full Name | Bowersox Wound Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6966 Heisley Rd Ste F, Mentor, Ohio |
| Authorized Official Name and Position | Irma Perez (BILLING) |
| Authorized Official Contact | 9514232209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowersox Wound Care Llc 6966 Heisley Rd Ste F Mentor OH 44060-4593 Ph: (440) 488-4575 | Bowersox Wound Care Llc 6966 Heisley Rd Ste F Mentor OH 44060-4593 Ph: (440) 488-4575 |
| NPI Number | 1205518156 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 08/01/2023 |
| Medicare PECOS PAC ID | 2860835816 |
|---|---|
| Medicare Enrollment ID | O20240207001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205518156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Harold J Bowersox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447362066 PECOS PAC ID: 9830239656 Enrollment ID: I20091229000438 |
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