| Embodied Wisdom Osteopathy Pc | |
|
7064 Corline Ct Ste C1 Sebastopol CA 95472-4528 | |
| (707) 339-8018 | |
| Not Available |
| Full Name | Embodied Wisdom Osteopathy Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7064 Corline Ct Ste C1, Sebastopol, California |
| Authorized Official Name and Position | Victoria Lorraine P Williams (OWNER) |
| Authorized Official Contact | 7073398018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Wisdom Osteopathy Pc 1040 Merced Ave Santa Rosa CA 95407-6514 Ph: (707) 339-8018 | Embodied Wisdom Osteopathy Pc 7064 Corline Ct Ste C1 Sebastopol CA 95472-4528 Ph: (707) 339-8018 |
| NPI Number | 1578394888 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Medicare PECOS PAC ID | 0941731426 |
|---|---|
| Medicare Enrollment ID | O20241008003295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578394888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Victoria Lorraine Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659705564 PECOS PAC ID: 3375821697 Enrollment ID: I20161020001355 |
Peter V. Madill, M.d. A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1020 Gravenstein Hwy. So., Suite 120, Sebastopol, CA 95472 Phone: 707-823-3312 Fax: 707-823-4901 | |
Bohemian Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B, Sebastopol, CA 95472 Phone: 707-239-9257 | |
Compassionate Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B1, Sebastopol, CA 95472 Phone: 707-694-2390 | |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 652 Petaluma Ave, Suite F, Sebastopol, CA 95472 Phone: 707-823-2334 Fax: 707-823-3007 | |