Educare Family Medicine | |
1685 S Main St Suite 360 Springboro OH 45066-1524 | |
(937) 748-2858 | |
(937) 748-2896 |
Full Name | Educare Family Medicine |
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Speciality | Family Medicine - Adult Medicine |
Location | 1685 S Main St, Springboro, Ohio |
Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
Authorized Official Contact | 9372088213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Educare Family Medicine 1685 S Main St Suite 360 Springboro OH 45066-1524 Ph: (937) 748-2858 | Educare Family Medicine 1685 S Main St Suite 360 Springboro OH 45066-1524 Ph: (937) 748-2858 |
NPI Number | 1376879221 |
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Provider Enumeration Date | 10/28/2009 |
Last Update Date | 11/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376879221 | NPI | - | NPPES |
2068024 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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