| Square One Health Llc | |
|
3418 Lake Ave Ashtabula OH 44004-5763 | |
| (440) 650-5030 | |
| Not Available |
| Full Name | Square One Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3418 Lake Ave, Ashtabula, Ohio |
| Authorized Official Name and Position | Sarah Pace (BILLING) |
| Authorized Official Contact | 3305656972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Square One Health Llc 3418 Lake Ave Ashtabula OH 44004-5763 Ph: () - | Square One Health Llc 3418 Lake Ave Ashtabula OH 44004-5763 Ph: (440) 650-5030 |
| NPI Number | 1326717190 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326717190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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