| Dublin Direct Care | |
|
5040 Bradenton Ave Ste A Dublin OH 43017-3524 | |
| (614) 389-5452 | |
| Not Available |
| Full Name | Dublin Direct Care |
|---|---|
| Speciality | Family Medicine |
| Location | 5040 Bradenton Ave Ste A, Dublin, Ohio |
| Authorized Official Name and Position | Benedict T Awo (OWNER) |
| Authorized Official Contact | 6143895452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dublin Direct Care 5040 Bradenton Ave Ste A Dublin OH 43017-3524 Ph: (614) 389-5452 | Dublin Direct Care 5040 Bradenton Ave Ste A Dublin OH 43017-3524 Ph: (614) 389-5452 |
| NPI Number | 1932828654 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Medicare PECOS PAC ID | 7618352410 |
|---|---|
| Medicare Enrollment ID | O20220914003538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932828654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Benedict T Awo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366980559 PECOS PAC ID: 1052681434 Enrollment ID: I20210714000975 |
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