True Health Baseline, Llc | |
3303 E Baseline Rd Ste 204 Gilbert AZ 85234-2728 | |
(480) 964-5107 | |
Not Available |
Full Name | True Health Baseline, Llc |
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Speciality | General Practice |
Location | 3303 E Baseline Rd Ste 204, Gilbert, Arizona |
Authorized Official Name and Position | Sarah Holewinski (CEO) |
Authorized Official Contact | 4804332524 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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True Health Baseline, Llc 3303 E Baseline Rd Ste 204 Gilbert AZ 85234-2728 Ph: (480) 964-5107 | True Health Baseline, Llc 3303 E Baseline Rd Ste 204 Gilbert AZ 85234-2728 Ph: (480) 964-5107 |
NPI Number | 1609365741 |
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Provider Enumeration Date | 05/03/2018 |
Last Update Date | 10/04/2021 |
Medicare PECOS PAC ID | 3375898885 |
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Medicare Enrollment ID | O20180622002626 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609365741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (Arizona) | Primary |
Provider Name | James O Holloway |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548696164 PECOS PAC ID: 3375979941 Enrollment ID: I20200130002824 |
Provider Name | Ekaterina Erev |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841878451 PECOS PAC ID: 2567871486 Enrollment ID: I20210505002870 |
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