East Holmes Family Care Inc | |
4981 Walnut Street Walnut Creek OH 44687-0000 | |
(330) 893-2431 | |
(330) 893-2915 |
Full Name | East Holmes Family Care Inc |
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Speciality | Family Medicine |
Location | 4981 Walnut Street, Walnut Creek, Ohio |
Authorized Official Name and Position | Robert Kim Kornhaus (TREASURER/PHYSICIAN) |
Authorized Official Contact | 3308933771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Holmes Family Care Inc Po Box 366 Berlin OH 44610 Ph: (330) 893-2431 | East Holmes Family Care Inc 4981 Walnut Street Walnut Creek OH 44687-0000 Ph: (330) 893-2431 |
NPI Number | 1902929177 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 07/03/2014 |
Identifier | Type | State | Issuer |
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1902929177 | NPI | - | NPPES |
0851369 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |