| Ohio Independent Collaborative, Llc | |
|
24651 Center Ridge Rd Suite 350 Westlake OH 44145-5635 | |
| (440) 895-5056 | |
| Not Available |
| Full Name | Ohio Independent Collaborative, Llc |
|---|---|
| Speciality | General Practice |
| Location | 24651 Center Ridge Rd, Westlake, Ohio |
| Authorized Official Name and Position | Robert Kent (CHAIRMAN) |
| Authorized Official Contact | 3309292685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Independent Collaborative, Llc 24651 Center Ridge Rd Suite 350 Westlake OH 44145-5635 Ph: (440) 895-5056 | Ohio Independent Collaborative, Llc 24651 Center Ridge Rd Suite 350 Westlake OH 44145-5635 Ph: (440) 895-5056 |
| NPI Number | 1902264476 |
|---|---|
| Provider Enumeration Date | 01/29/2016 |
| Last Update Date | 02/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902264476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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