Robert J Mcconnell | |
107 Kenbrook Dr Vandalia OH 45377-2427 | |
(937) 890-6252 | |
(937) 890-1725 |
Full Name | Robert J Mcconnell |
---|---|
Speciality | Internal Medicine - Geriatric Medicine |
Location | 107 Kenbrook Dr, Vandalia, Ohio |
Authorized Official Name and Position | Robert J Mcconnell (OWNER) |
Authorized Official Contact | 9378906252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert J Mcconnell P.o. Box 235 Vandalia OH 45377-2427 Ph: (937) 890-6252 | Robert J Mcconnell 107 Kenbrook Dr Vandalia OH 45377-2427 Ph: (937) 890-6252 |
NPI Number | 1750570164 |
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Provider Enumeration Date | 10/22/2007 |
Last Update Date | 11/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750570164 | NPI | - | NPPES |
0877761 | Medicaid | OH | |
DP5373 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 1569 (Ohio) | Primary |
Hocks Wellness Consulting Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 S Dixie Dr, Vandalia, OH 45377 Phone: 937-889-2121 Fax: 937-898-9340 | |
North Dayton Addiction & Recovery, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S Dixie Drive, Suite 4, Vandalia, OH 45377 Phone: 937-416-5442 | |