Mobile Wound Healing Llc | |
6371 Riverside Dr Ste 1100 Dublin OH 43017-5446 | |
(614) 516-6980 | |
Not Available |
Full Name | Mobile Wound Healing Llc |
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Speciality | Family Medicine |
Location | 6371 Riverside Dr Ste 1100, Dublin, Ohio |
Authorized Official Name and Position | Megan Calabria (MANAGER) |
Authorized Official Contact | 4406672902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mobile Wound Healing Llc 6371 Riverside Dr Ste 1100 Dublin OH 43017-5446 Ph: () - | Mobile Wound Healing Llc 6371 Riverside Dr Ste 1100 Dublin OH 43017-5446 Ph: (614) 516-6980 |
NPI Number | 1447013511 |
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Provider Enumeration Date | 02/01/2024 |
Last Update Date | 02/05/2024 |
Medicare PECOS PAC ID | 6204275514 |
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Medicare Enrollment ID | O20240419001138 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447013511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Louis Leo Bowman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366439325 PECOS PAC ID: 9335124825 Enrollment ID: I20040621000002 |
Provider Name | Rachel Korty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881267607 PECOS PAC ID: 6204226764 Enrollment ID: I20211124001470 |
Provider Name | Nancy Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700649134 PECOS PAC ID: 2668810482 Enrollment ID: I20240329000615 |
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