| Primetown Ohio LLC | |
|
905 N 21st St Ste A Newark OH 43055-7251 | |
| (740) 281-3663 | |
| (740) 281-3818 |
| Full Name | Primetown Ohio LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 905 N 21st St Ste A, Newark, Ohio |
| Authorized Official Name and Position | Stephanie Rice (OWNER) |
| Authorized Official Contact | 7407041225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primetown Ohio LLC 905 N 21st St Ste A Newark OH 43055-7251 Ph: (740) 281-3663 | Primetown Ohio LLC 905 N 21st St Ste A Newark OH 43055-7251 Ph: (740) 281-3663 |
| NPI Number | 1124733167 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124733167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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