| Stellar Health & Wellness Clinic Llc | |
|
5957 Cleveland Ave Columbus OH 43231-2210 | |
| (614) 394-8092 | |
| (614) 394-8078 |
| Full Name | Stellar Health & Wellness Clinic Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5957 Cleveland Ave, Columbus, Ohio |
| Authorized Official Name and Position | Fidelis N Elokobi (CEO) |
| Authorized Official Contact | 4197794854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Health & Wellness Clinic Llc 1007 Meadowsweet Dr Englewood OH 45315-7718 Ph: (937) 750-5309 | Stellar Health & Wellness Clinic Llc 5957 Cleveland Ave Columbus OH 43231-2210 Ph: (614) 394-8092 |
| NPI Number | 1952166423 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 0941649685 |
|---|---|
| Medicare Enrollment ID | O20240415002451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952166423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Fidelis N Elokobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154564276 PECOS PAC ID: 3870764012 Enrollment ID: I20220504002350 |
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