| W. Joseph Hambor Lisw-s | |
|
5 W Church St Pickerington OH 43147-1210 | |
| (614) 787-3843 | |
| (614) 321-6253 |
| Full Name | W. Joseph Hambor Lisw-s |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5 W Church St, Pickerington, Ohio |
| Authorized Official Name and Position | William Joseph Hambor (PRESIDENT/OWNER) |
| Authorized Official Contact | 6147873843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W. Joseph Hambor Lisw-s 5 W Church St Pickerington OH 43147-1210 Ph: (614) 787-3843 | W. Joseph Hambor Lisw-s 5 W Church St Pickerington OH 43147-1210 Ph: (614) 787-3843 |
| NPI Number | 1972992576 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972992576 | NPI | - | NPPES |
| 9111115 | Medicaid | OH | |
| SW35281 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | I0003808 (Ohio) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | I0003808 (Ohio) | Secondary |
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