Health And Pain Care Llc | |
1574 Henthorne Dr Ste C Maumee OH 43537-3921 | |
(419) 517-1737 | |
(419) 517-0108 |
Full Name | Health And Pain Care Llc |
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Speciality | Family Medicine |
Location | 1574 Henthorne Dr Ste C, Maumee, Ohio |
Authorized Official Name and Position | Gary F Smith (OWNER) |
Authorized Official Contact | 4195171737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health And Pain Care Llc 1574 Henthorne Dr Ste C Maumee OH 43537-3921 Ph: (419) 517-1737 | Health And Pain Care Llc 1574 Henthorne Dr Ste C Maumee OH 43537-3921 Ph: (419) 517-1737 |
NPI Number | 1245902212 |
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Provider Enumeration Date | 09/29/2021 |
Last Update Date | 01/03/2024 |
Medicare PECOS PAC ID | 1153718226 |
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Medicare Enrollment ID | O20220420002429 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245902212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Gary Smith |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154371573 PECOS PAC ID: 6406887116 Enrollment ID: I20200317001864 |
Provider Name | Nicole Sbrocchi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184376758 PECOS PAC ID: 8123415643 Enrollment ID: I20220429001858 |
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