Haven Health And Wellness Llc | |
45 Bellefonte Ave Lock Haven PA 17745 | |
(570) 337-3440 | |
Not Available |
Full Name | Haven Health And Wellness Llc |
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Speciality | Family Medicine |
Location | 45 Bellefonte Ave, Lock Haven, Pennsylvania |
Authorized Official Name and Position | Jeremy Lazorka (MANAGER) |
Authorized Official Contact | 5708585328 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Haven Health And Wellness Llc 45 Bellefonte Ave Suite #2 Lock Haven PA 17745 Ph: (570) 858-5328 | Haven Health And Wellness Llc 45 Bellefonte Ave Lock Haven PA 17745 Ph: (570) 337-3440 |
NPI Number | 1871328211 |
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Provider Enumeration Date | 09/05/2024 |
Last Update Date | 11/07/2024 |
Medicare PECOS PAC ID | 6608317029 |
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Medicare Enrollment ID | O20240925000593 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871328211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bernard Carl Steinbacher |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1700853751 PECOS PAC ID: 1759289663 Enrollment ID: I20031230000006 |
Provider Name | Kirsten E Bubb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134554751 PECOS PAC ID: 9537394507 Enrollment ID: I20131029000019 |
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