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Contact Information

INTEGRATED BEHAVIORAL AND PRIMARY CARE LLC
23850 COMMERCE PARK
BEACHWOOD, OH44122-5829
 Phone: 440-781-5205
 Fax: 440-568-5003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for INTEGRATED BEHAVIORAL AND PRIMARY CARE LLC · (Female)

NPI Number 1386282002
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2019
Last updated 06/08/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 0392833
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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