| Consortium Concepts, Llc | |
|
554 Heritage Woods Dr Copley OH 44321-2746 | |
| (330) 328-4570 | |
| (888) 354-1076 |
| Full Name | Consortium Concepts, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 554 Heritage Woods Dr, Copley, Ohio |
| Authorized Official Name and Position | Daniel J Cannone (OWNER) |
| Authorized Official Contact | 3303284570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consortium Concepts, Llc 554 Heritage Woods Dr Copley OH 44321-2746 Ph: (330) 328-4570 | Consortium Concepts, Llc 554 Heritage Woods Dr Copley OH 44321-2746 Ph: (330) 328-4570 |
| NPI Number | 1336443415 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336443415 | NPI | - | NPPES |
| 3128289 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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