| Richmond Integrative And Functional Medicine | |
|
1 Park West Cir Midlothian VA 23114-5551 | |
| (804) 893-3920 | |
| Not Available |
| Full Name | Richmond Integrative And Functional Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Park West Cir, Midlothian, Virginia |
| Authorized Official Name and Position | Aaron Nathan Hartman (OWNER) |
| Authorized Official Contact | 8045301018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Integrative And Functional Medicine 1051 Manakin Rd Manakin Sabot VA 23103-3143 Ph: (804) 893-3920 | Richmond Integrative And Functional Medicine 1 Park West Cir Midlothian VA 23114-5551 Ph: (804) 893-3920 |
| NPI Number | 1427794692 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Medicare PECOS PAC ID | 7113302399 |
|---|---|
| Medicare Enrollment ID | O20220924000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427794692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aaron N Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790770170 PECOS PAC ID: 6709807662 Enrollment ID: I20071113000168 |
| Provider Name | Christian Alexandrer Jenski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659482677 PECOS PAC ID: 8224035969 Enrollment ID: I20130201000000 |
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