| Total Care Connect LLC | |
|
2331 Keep Pl Columbus OH 43204-4989 | |
| (614) 407-1614 | |
| Not Available |
| Full Name | Total Care Connect LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2331 Keep Pl, Columbus, Ohio |
| Authorized Official Name and Position | Jayveer Sodiwal (CREDENTIALING) |
| Authorized Official Contact | 6144071614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Care Connect LLC 2331 Keep Pl Columbus OH 43204-4989 Ph: (614) 407-1614 | Total Care Connect LLC 2331 Keep Pl Columbus OH 43204-4989 Ph: (614) 407-1614 |
| NPI Number | 1134822075 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 8527412824 |
|---|---|
| Medicare Enrollment ID | O20230920001622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134822075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Louis Leo Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366439325 PECOS PAC ID: 9335124825 Enrollment ID: I20040621000002 |
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