| Elevated Wellness Medical Center | |
|
5340 E Main St Columbus OH 43213-2574 | |
| (614) 370-1048 | |
| Not Available |
| Full Name | Elevated Wellness Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 5340 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | Nicholas Knight (CEO) |
| Authorized Official Contact | 6143029816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Wellness Medical Center 5785 Halton Gill Ln New Albany OH 43054-4016 Ph: () - | Elevated Wellness Medical Center 5340 E Main St Columbus OH 43213-2574 Ph: (614) 370-1048 |
| NPI Number | 1699538272 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 0244765725 |
|---|---|
| Medicare Enrollment ID | O20241120002471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699538272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Cynthia Jean Milich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912981812 PECOS PAC ID: 2961485081 Enrollment ID: I20040610000365 |
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