| Ketamine Health & Wellness Clinics Of Ohio Llc | |
|
5060 Bradenton Ave Ste A Dublin OH 43017-3511 | |
| (380) 214-1636 | |
| (380) 235-7469 |
| Full Name | Ketamine Health & Wellness Clinics Of Ohio Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5060 Bradenton Ave Ste A, Dublin, Ohio |
| Authorized Official Name and Position | Brian S Seifferth (PRESIDENT) |
| Authorized Official Contact | 6143061073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketamine Health & Wellness Clinics Of Ohio Llc 5060 Bradenton Ave Ste A Dublin OH 43017-3511 Ph: (380) 214-1636 | Ketamine Health & Wellness Clinics Of Ohio Llc 5060 Bradenton Ave Ste A Dublin OH 43017-3511 Ph: (380) 214-1636 |
| NPI Number | 1053005116 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053005116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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