| Palialife | |
|
44 Vernon Ave Ashland OH 44805-4039 | |
| (216) 230-4010 | |
| (704) 438-9263 |
| Full Name | Palialife |
|---|---|
| Speciality | Internal Medicine |
| Location | 44 Vernon Ave, Ashland, Ohio |
| Authorized Official Name and Position | Pierre El Hachem (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 1623040102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palialife 44 Vernon Ave Ashland OH 44805-4039 Ph: (216) 230-4010 | Palialife 44 Vernon Ave Ashland OH 44805-4039 Ph: (216) 230-4010 |
| NPI Number | 1336735406 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 3274946231 |
|---|---|
| Medicare Enrollment ID | O20210112000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336735406 | NPI | - | NPPES |
| Provider Name | Pierre El Hachem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942632872 PECOS PAC ID: 7214238625 Enrollment ID: I20161130002142 |
| Provider Name | Nicole Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013641984 PECOS PAC ID: 5193192128 Enrollment ID: I20221104000892 |
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