| Senior Outreach Services Inc | |
|
4996 Ridgewood Rd Traverse City MI 49686-9754 | |
| (800) 671-1767 | |
| Not Available |
| Full Name | Senior Outreach Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4996 Ridgewood Rd, Traverse City, Michigan |
| Authorized Official Name and Position | Julie B. Loncar (PRESIDENT) |
| Authorized Official Contact | 8006711767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Outreach Services Inc Po Box 97 Old Mission MI 49673-0097 Ph: (800) 671-1767 | Senior Outreach Services Inc 4996 Ridgewood Rd Traverse City MI 49686-9754 Ph: (800) 671-1767 |
| NPI Number | 1033375720 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 5092720581 |
|---|---|
| Medicare Enrollment ID | O20060221000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033375720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801057797 (Michigan) | Primary |
| Provider Name | Julie B Loncar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235395609 PECOS PAC ID: 9335177120 Enrollment ID: I20050802001070 |
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