| True Rejuvenation Peptide And Hormone Replacement Therapy Pllc | |
|
4125 W Ridge Rd Ste A Erie PA 16506-1763 | |
| (814) 520-6144 | |
| (814) 520-6420 |
| Full Name | True Rejuvenation Peptide And Hormone Replacement Therapy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4125 W Ridge Rd Ste A, Erie, Pennsylvania |
| Authorized Official Name and Position | Catherine Rose Buck (CRNP/CEO) |
| Authorized Official Contact | 8148121012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Rejuvenation Peptide And Hormone Replacement Therapy Pllc 4125 W Ridge Rd Ste A Erie PA 16506-1763 Ph: (814) 520-6144 | True Rejuvenation Peptide And Hormone Replacement Therapy Pllc 4125 W Ridge Rd Ste A Erie PA 16506-1763 Ph: (814) 520-6144 |
| NPI Number | 1518591163 |
|---|---|
| Provider Enumeration Date | 02/22/2020 |
| Last Update Date | 10/05/2021 |
| Medicare PECOS PAC ID | 5698196004 |
|---|---|
| Medicare Enrollment ID | O20200610001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518591163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Catherine R Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386027944 PECOS PAC ID: 9739499435 Enrollment ID: I20151110000064 |
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