Holistic Family Medical Practice Llc | |
262 Chapman Rd Ste 107 Newark DE 19702-5412 | |
(302) 685-2222 | |
(302) 355-1198 |
Full Name | Holistic Family Medical Practice Llc |
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Speciality | Clinic/Center |
Location | 262 Chapman Rd Ste 107, Newark, Delaware |
Authorized Official Name and Position | Fanta Schwarz (PROVIDER/OWNER) |
Authorized Official Contact | 2678796292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holistic Family Medical Practice Llc 44 Princeton Ct Newark DE 19702-5211 Ph: (267) 879-6292 | Holistic Family Medical Practice Llc 262 Chapman Rd Ste 107 Newark DE 19702-5412 Ph: (302) 685-2222 |
NPI Number | 1184369936 |
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Provider Enumeration Date | 05/04/2022 |
Last Update Date | 07/18/2022 |
Medicare PECOS PAC ID | 1557740156 |
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Medicare Enrollment ID | O20220628000106 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184369936 | NPI | - | NPPES |
Provider Name | Fanta Schwarz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700329331 PECOS PAC ID: 7517239684 Enrollment ID: I20170824000930 |
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