| Bt Restoration & Healing Center Inj Llc | |
|
1140 Opal Ct Hagerstown MD 21740-5940 | |
| (240) 422-7774 | |
| Not Available |
| Full Name | Bt Restoration & Healing Center Inj Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1140 Opal Ct, Hagerstown, Maryland |
| Authorized Official Name and Position | Carole Tchatchoua (PRESIDENT) |
| Authorized Official Contact | 2404227774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bt Restoration & Healing Center Inj Llc 1140 Opal Ct Hagerstown MD 21740-5940 Ph: (240) 422-7774 | Bt Restoration & Healing Center Inj Llc 1140 Opal Ct Hagerstown MD 21740-5940 Ph: (240) 422-7774 |
| NPI Number | 1982346714 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 1052794211 |
|---|---|
| Medicare Enrollment ID | O20220822000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982346714 | NPI | - | NPPES |
| Provider Name | Carole Tchatchoua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447718549 PECOS PAC ID: 2466861356 Enrollment ID: I20210518001665 |
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