| Esthers Home Clinic Llc | |
|
6829 Grinnel Ln Haymarket VA 20169-2731 | |
| (571) 247-7636 | |
| Not Available |
| Full Name | Esthers Home Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6829 Grinnel Ln, Haymarket, Virginia |
| Authorized Official Name and Position | Esther H Hong (CEO) |
| Authorized Official Contact | 5712477636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esthers Home Clinic Llc 6829 Grinnel Ln Haymarket VA 20169-2731 Ph: (571) 247-7636 | Esthers Home Clinic Llc 6829 Grinnel Ln Haymarket VA 20169-2731 Ph: (571) 247-7636 |
| NPI Number | 1538826821 |
|---|---|
| Provider Enumeration Date | 11/21/2021 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 8123400355 |
|---|---|
| Medicare Enrollment ID | O20220803003314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538826821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Esther H Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043783715 PECOS PAC ID: 8224377791 Enrollment ID: I20190319000620 |
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