| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 17862 Sr 247, Seaman, Ohio |
| Authorized Official Name and Position | Trudy Renee Sanders (OFFICE MANAGER) |
| Authorized Official Contact | 9373863303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17862 Sr 247 Seaman OH 45679 Ph: (937) 386-3303 | 17862 Sr 247 Seaman OH 45679 Ph: (937) 386-3303 |
| NPI Number | 1861695603 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861695603 | NPI | - | NPPES |
| 0997417 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35067590H (Ohio) | Primary |
Hajjar Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17862 St Rt 247, Seaman, OH 45679 Phone: 937-386-3303 Fax: 937-386-3167 | |