| Shrivers Wellness Solutions Ltd | |
|
310 W Union St Ste 101 Athens OH 45701-2312 | |
| (740) 447-9713 | |
| (740) 447-9205 |
| Full Name | Shrivers Wellness Solutions Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 310 W Union St Ste 101, Athens, Ohio |
| Authorized Official Name and Position | Ben Alan Holter (AUTHORIZED OFFICIAL / OWNER) |
| Authorized Official Contact | 7405080213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shrivers Wellness Solutions Ltd 310 W Union St Ste 101 Athens OH 45701-2312 Ph: (740) 447-9713 | Shrivers Wellness Solutions Ltd 310 W Union St Ste 101 Athens OH 45701-2312 Ph: (740) 447-9713 |
| NPI Number | 1760093215 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/10/2020 |
| Medicare PECOS PAC ID | 6901224641 |
|---|---|
| Medicare Enrollment ID | O20200914000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760093215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200902000787 |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20221129003091 |
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