| Partners Physician Group | |
|
4494 State Route 43 Kent OH 44240-8206 | |
| (330) 344-1600 | |
| Not Available |
| Full Name | Partners Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4494 State Route 43, Kent, Ohio |
| Authorized Official Name and Position | Kenneth J Braman (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3306658302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners Physician Group 4494 State Route 43 Kent OH 44240-8206 Ph: (330) 344-1600 | Partners Physician Group 4494 State Route 43 Kent OH 44240-8206 Ph: (330) 344-1600 |
| NPI Number | 1831556851 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831556851 | NPI | - | NPPES |
| 9338635 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # |
| 1841239274 | Other | OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # (FOR WHOLE GROUP) |
| 2551671 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
| 363L00000X | Nurse Practitioner | (Ohio) | Secondary |
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