Healthcare Complete, Pc | |
260 Merrimac St Newburyport MA 01950-2192 | |
(978) 499-9355 | |
(978) 499-7808 |
Full Name | Healthcare Complete, Pc |
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Speciality | Clinic/Center |
Location | 260 Merrimac St, Newburyport, Massachusetts |
Authorized Official Name and Position | Jennah Leigh Dieter (OWNER) |
Authorized Official Contact | 9784999355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthcare Complete, Pc 260 Merrimac St Newburyport MA 01950-2192 Ph: (978) 499-9355 | Healthcare Complete, Pc 260 Merrimac St Newburyport MA 01950-2192 Ph: (978) 499-9355 |
NPI Number | 1164659280 |
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Provider Enumeration Date | 06/16/2009 |
Last Update Date | 06/16/2009 |
Medicare PECOS PAC ID | 2860537644 |
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Medicare Enrollment ID | O20100304000319 |
Identifier | Type | State | Issuer |
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1164659280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 3070 (Massachusetts) | Primary |
Provider Name | Jennah L Dieter |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508873795 PECOS PAC ID: 6709896863 Enrollment ID: I20060503000672 |
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