Performance Care, Llc | |
2713 Mccampbell Ave Nashville TN 37214 | |
(618) 771-2026 | |
Not Available |
Full Name | Performance Care, Llc |
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Speciality | Prosthetic/Orthotic Supplier |
Location | 2713 Mccampbell Ave, Nashville, Tennessee |
Authorized Official Name and Position | Robert David Stricker (PRESIDENT) |
Authorized Official Contact | 6187712026 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Performance Care, Llc 2713 Mccampbell Ave Nashville TN 37214-2935 Ph: (618) 771-2026 | Performance Care, Llc 2713 Mccampbell Ave Nashville TN 37214 Ph: (618) 771-2026 |
NPI Number | 1073939526 |
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Provider Enumeration Date | 03/07/2014 |
Last Update Date | 07/13/2018 |
Medicare PECOS PAC ID | 3375811342 |
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Medicare Enrollment ID | O20201221002415 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073939526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
335E00000X | Prosthetic/orthotic Supplier | (* (Not Available)) | Primary |
Provider Name | Michael B Stricker |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215201322 PECOS PAC ID: 3678738432 Enrollment ID: I20201231001611 |
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