| Cholesterol Treatment Center, Inc | |
|
5355 Medpace Way Cincinnati OH 45227-1543 | |
| (513) 579-8811 | |
| Not Available |
| Full Name | Cholesterol Treatment Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5355 Medpace Way, Cincinnati, Ohio |
| Authorized Official Name and Position | Evan Stein (PRESIDENT) |
| Authorized Official Contact | 5135798811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cholesterol Treatment Center, Inc 5355 Medpace Way Cincinnati OH 45227-1543 Ph: (513) 579-8811 | Cholesterol Treatment Center, Inc 5355 Medpace Way Cincinnati OH 45227-1543 Ph: (513) 579-8811 |
| NPI Number | 1699943621 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 07/30/2012 |
| Medicare PECOS PAC ID | 5698859551 |
|---|---|
| Medicare Enrollment ID | O20080303000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699943621 | NPI | - | NPPES |
| 0952214 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Traci A Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285675884 PECOS PAC ID: 8729061056 Enrollment ID: I20040609000330 |
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