| Sylvie Wellness Center Llc | |
|
25 Clevenger Ct Springboro OH 45066-7425 | |
| (937) 558-5100 | |
| Not Available |
| Full Name | Sylvie Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Clevenger Ct, Springboro, Ohio |
| Authorized Official Name and Position | Lisa Sullivan (CREDENTIALING SPECIAIST) |
| Authorized Official Contact | 4404530754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvie Wellness Center Llc 25 Clevenger Ct Springboro OH 45066-7425 Ph: (937) 558-5100 | Sylvie Wellness Center Llc 25 Clevenger Ct Springboro OH 45066-7425 Ph: (937) 558-5100 |
| NPI Number | 1457116725 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 0345777355 |
|---|---|
| Medicare Enrollment ID | O20250102001075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457116725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sylvie I Sibomana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841746120 PECOS PAC ID: 8224313440 Enrollment ID: I20170329002992 |
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