| Omni Wellness Group LLC | |
|
1149 Experiment Farm Road Troy OH 45373 | |
| (937) 540-9920 | |
| (937) 202-0213 |
| Full Name | Omni Wellness Group LLC |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1149 Experiment Farm Road, Troy, Ohio |
| Authorized Official Name and Position | Sheila Petrequin (BILLING MANAGER) |
| Authorized Official Contact | 9374389500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Wellness Group LLC 1149 Experiment Farm Rd Troy OH 45373-1071 Ph: (937) 438-9500 | Omni Wellness Group LLC 1149 Experiment Farm Road Troy OH 45373 Ph: (937) 540-9920 |
| NPI Number | 1861982423 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861982423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Primary |
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