| Sandusky Artisans Cooperative | |
|
138 E Market St Sandusky OH 44870-2506 | |
| (419) 621-9377 | |
| Not Available |
| Full Name | Sandusky Artisans Cooperative |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 138 E Market St, Sandusky, Ohio |
| Authorized Official Name and Position | Joseph J Supina (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4196219377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandusky Artisans Cooperative 138 E Market St Sandusky OH 44870-2506 Ph: (419) 621-9377 | Sandusky Artisans Cooperative 138 E Market St Sandusky OH 44870-2506 Ph: (419) 621-9377 |
| NPI Number | 1467072025 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467072025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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