| Alliance Integrated Care Llc | |
|
517 N 4th St Steubenville OH 43952-1933 | |
| (740) 340-7595 | |
| Not Available |
| Full Name | Alliance Integrated Care Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 517 N 4th St, Steubenville, Ohio |
| Authorized Official Name and Position | Fabian Glen Rosel (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7403140010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Integrated Care Llc 517 N 4th St Steubenville OH 43952-1933 Ph: () - | Alliance Integrated Care Llc 517 N 4th St Steubenville OH 43952-1933 Ph: (740) 340-7595 |
| NPI Number | 1235881210 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Medicare PECOS PAC ID | 4385038231 |
|---|---|
| Medicare Enrollment ID | O20220218001633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235881210 | NPI | - | NPPES |
| Provider Name | Fabian Glen Rosel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174925838 PECOS PAC ID: 5193946432 Enrollment ID: I20141029002363 |
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