Exclusively Skin Llc | |
9565 Midwest Ave Ste C Garfield Heights OH 44125-2421 | |
(216) 508-6500 | |
(216) 508-6501 |
Full Name | Exclusively Skin Llc |
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Speciality | Family Medicine |
Location | 9565 Midwest Ave Ste C, Garfield Heights, Ohio |
Authorized Official Name and Position | Tracy Lynette Ringo (OWNER/PHYSICIAN) |
Authorized Official Contact | 2165086500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Exclusively Skin Llc 9565 Midwest Ave Ste C Garfield Heights OH 44125-2421 Ph: (216) 508-6500 | Exclusively Skin Llc 9565 Midwest Ave Ste C Garfield Heights OH 44125-2421 Ph: (216) 508-6500 |
NPI Number | 1891204285 |
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Provider Enumeration Date | 09/28/2017 |
Last Update Date | 03/29/2024 |
Medicare PECOS PAC ID | 5991064479 |
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Medicare Enrollment ID | O20180108001394 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891204285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34007796 (Ohio) | Primary |
Provider Name | Tracy L Ringo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649231804 PECOS PAC ID: 2264330133 Enrollment ID: I20031230000281 |
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