Pierson Family Practice | |
1220 E Elm St Ste 240 Lima OH 45804-2898 | |
(419) 227-9676 | |
(419) 227-9794 |
Full Name | Pierson Family Practice |
---|---|
Speciality | Family Medicine |
Location | 1220 E Elm St, Lima, Ohio |
Authorized Official Name and Position | Dennis J Pierson (PRESIDENT) |
Authorized Official Contact | 4192279676 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pierson Family Practice 1220 E Elm St Ste 240 Lima OH 45804-2898 Ph: (419) 227-9676 | Pierson Family Practice 1220 E Elm St Ste 240 Lima OH 45804-2898 Ph: (419) 227-9676 |
NPI Number | 1013953942 |
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Provider Enumeration Date | 06/20/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013953942 | NPI | - | NPPES |
735029 | Other | OH | BUCKEYE |
2174105 | Medicaid | OH | |
5641551 | Other | OH | AETNA HMO |
0636167 | Other | OH | AETNA |
CG1874 | Other | OH | RAILROAD MEDICARE-PALMETT |
000000031107 | Other | OH | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35-043987P (Ohio) | Primary |
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