| Dr Gina Reghetti Do Pc Inc | |
|
The 110 Building 110 Edward Street, Nw Warren OH 44483-1118 | |
| (330) 847-3334 | |
| (330) 847-9301 |
| Full Name | Dr Gina Reghetti Do Pc Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | The 110 Building, Warren, Ohio |
| Authorized Official Name and Position | Dr. Gina Reghetti (PHYSICIAN/SURGEON) |
| Authorized Official Contact | 3308473334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gina Reghetti Do Pc Inc The 110 Building 110 Edward Street, Nw Warren OH 44483-1118 Ph: (330) 847-3334 | Dr Gina Reghetti Do Pc Inc The 110 Building 110 Edward Street, Nw Warren OH 44483-1118 Ph: (330) 847-3334 |
| NPI Number | 1841569902 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841569902 | NPI | - | NPPES |
| 000012833-00 | Other | OH | OHIO BUREAU OF WORKERS' COMPENSATION CERTIFIED |
| 34-006816-R | Other | OH | STATE OF OHIO MEDICAL LICENSE # 34-006816-R |
| 2174418 | Medicaid | OH | |
| 36D2026176 | Other | OH | CLIA WAIVER CERTIFICATE # 36D2026176 ACUTE OPIOID DETOX CLINIC, U.S.A. |
| 8873 | Other | IL | AMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS BOARD CERTIFICATION |
| RE 4018311 | Other | OH | MEDICARE |
| 064509 | Other | OH | AOA # AMERICAN OSTEOPATHIC ASSOCIATION ID# 064509 |
| H051310 | Other | OH | MEDICARE ID AS OF 7-17-2013 |
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