| Two Brothers Enterprises Inc | |
|
4400 Rockside Rd Suite 2100 Independence OH 44131-2168 | |
| (216) 573-1300 | |
| (216) 503-5005 |
| Full Name | Two Brothers Enterprises Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4400 Rockside Rd, Independence, Ohio |
| Authorized Official Name and Position | Lenore A Carver (OFFICE MANAGER) |
| Authorized Official Contact | 2165731300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Brothers Enterprises Inc 4400 Rockside Rd Suite 2100 Independence OH 44131-2168 Ph: (216) 573-1300 | Two Brothers Enterprises Inc 4400 Rockside Rd Suite 2100 Independence OH 44131-2168 Ph: (216) 573-1300 |
| NPI Number | 1851540280 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 09/16/2020 |
| Medicare PECOS PAC ID | 0143384438 |
|---|---|
| Medicare Enrollment ID | O20090202000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851540280 | NPI | - | NPPES |
| 2878060 | Medicaid | OH | |
| 000000590089 | Other | OH | ANTHEM BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert J Rutkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447349972 PECOS PAC ID: 9739186073 Enrollment ID: I20061031000177 |
| Provider Name | Jack Rutkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073602520 PECOS PAC ID: 3274530514 Enrollment ID: I20061031000183 |
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