| Professional Integrative Care LLC | |
|
4018 N Hampton Dr Powell OH 43065-8431 | |
| (614) 618-0017 | |
| (614) 635-9229 |
| Full Name | Professional Integrative Care LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4018 N Hampton Dr, Powell, Ohio |
| Authorized Official Name and Position | Daniel Fosselman (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6144996863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Integrative Care LLC 4018 N Hampton Dr Powell OH 43065-8431 Ph: (614) 618-0017 | Professional Integrative Care LLC 4018 N Hampton Dr Powell OH 43065-8431 Ph: (614) 618-0017 |
| NPI Number | 1932094752 |
|---|---|
| Provider Enumeration Date | 06/11/2025 |
| Last Update Date | 06/11/2025 |
| Certification Date | 06/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932094752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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