| Healthspan Integrated Care | |
|
2500 State Route 59 Suite 28 Kent OH 44240-7105 | |
| (216) 265-8810 | |
| (216) 265-8890 |
| Full Name | Healthspan Integrated Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 State Route 59, Kent, Ohio |
| Authorized Official Name and Position | David A Nowiski (CFO) |
| Authorized Official Contact | 5136392722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthspan Integrated Care 615 Elsinore Pl Cincinnati OH 45202-1459 Ph: (513) 639-2722 | Healthspan Integrated Care 2500 State Route 59 Suite 28 Kent OH 44240-7105 Ph: (216) 265-8810 |
| NPI Number | 1164859948 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164859948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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