| Healthy Living Family Medicine Pllc | |
|
51 Delaware St Ste 1 Du Bois PA 15801-2764 | |
| (814) 601-3113 | |
| Not Available |
| Full Name | Healthy Living Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 51 Delaware St, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Ulrike Shaon Donahue (PHYSICIAN) |
| Authorized Official Contact | 8146013114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Family Medicine Pllc 51 Delaware St Ste 1 Du Bois PA 15801-2764 Ph: (814) 601-3113 | Healthy Living Family Medicine Pllc 51 Delaware St Ste 1 Du Bois PA 15801-2764 Ph: (814) 601-3113 |
| NPI Number | 1730624164 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 0749562601 |
|---|---|
| Medicare Enrollment ID | O20170130000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730624164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS015888 (Pennsylvania) | Primary |
| Provider Name | Ulrike Shaon Donahue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346546090 PECOS PAC ID: 9638338239 Enrollment ID: I20120316000247 |
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