Robert W Blair Dc Inc | |
14949 Kinsman Rd Burton OH 44021 | |
(440) 834-0009 | |
(440) 834-0017 |
Full Name | Robert W Blair Dc Inc |
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Speciality | Clinic/Center |
Location | 14949 Kinsman Rd, Burton, Ohio |
Authorized Official Name and Position | Robert W Blair (OWNER) |
Authorized Official Contact | 4408340009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robert W Blair Dc Inc 14949 Kinsman Rd. P.o. Box 182 Burton OH 44021-0182 Ph: (440) 834-0009 | Robert W Blair Dc Inc 14949 Kinsman Rd Burton OH 44021 Ph: (440) 834-0009 |
NPI Number | 1255595088 |
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Provider Enumeration Date | 07/10/2008 |
Last Update Date | 07/15/2008 |
Medicare PECOS PAC ID | 8628141371 |
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Medicare Enrollment ID | O20080714000712 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255595088 | NPI | - | NPPES |
350024118 | Other | MEDICARE RAILROAD | |
T46943 | Other | OH | MEDICARE UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 661 (Ohio) | Primary |