| Your Neighborhood Doc Pc | |
|
38 Thompson Park Kane PA 16735-0399 | |
| (814) 837-9841 | |
| (814) 837-6494 |
| Full Name | Your Neighborhood Doc Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 38 Thompson Park, Kane, Pennsylvania |
| Authorized Official Name and Position | Emmanuel Fermin Hipolito (OWNER) |
| Authorized Official Contact | 8148379841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Neighborhood Doc Pc P O Box 399 38 Thompson Park Kane PA 16735-0399 Ph: (814) 837-9841 | Your Neighborhood Doc Pc 38 Thompson Park Kane PA 16735-0399 Ph: (814) 837-9841 |
| NPI Number | 1336335090 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336335090 | NPI | - | NPPES |
| 1630113 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD037007L (Pennsylvania) | Primary |
Kane Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4372 Route 6, Kane, PA 16735 Phone: 814-837-8585 Fax: 814-837-7992 | |
Upmc Kane Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4372 Route 6, Kane, PA 16735 Phone: 814-837-8585 Fax: 814-837-7992 |