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25 Hidden Ravines Dr Powell OH 43065-9883 | |
| (614) 547-2124 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Hidden Ravines Dr, Powell, Ohio |
| Authorized Official Name and Position | Frances Horenstein (OWNER) |
| Authorized Official Contact | 6145472124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
25 Hidden Ravines Dr Powell OH 43065-9883 Ph: (614) 547-2124 | 25 Hidden Ravines Dr Powell OH 43065-9883 Ph: (614) 547-2124 |
| NPI Number | 1700653904 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 2163967910 |
|---|---|
| Medicare Enrollment ID | O20240716004239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700653904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Frances Charlene Briones Horenstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033466008 PECOS PAC ID: 9830403187 Enrollment ID: I20150731014600 |
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