| Advanced Neurologic Associates, Inc | |
|
1250 Fulton St Port Clinton OH 43452-9296 | |
| (419) 483-2403 | |
| (419) 484-1203 |
| Full Name | Advanced Neurologic Associates, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1250 Fulton St, Port Clinton, Ohio |
| Authorized Official Name and Position | Steven Benedict (PRESIDENT) |
| Authorized Official Contact | 4194832403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurologic Associates, Inc 5433 State Route 113 Bellevue OH 44811-9708 Ph: (419) 483-2403 | Advanced Neurologic Associates, Inc 1250 Fulton St Port Clinton OH 43452-9296 Ph: (419) 483-2403 |
| NPI Number | 1588978563 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 12/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588978563 | NPI | - | NPPES |
| CL1664 | Other | OH | RAILROAD MEDICARE |
| 2383620 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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