Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI Number | 1508493784 |
| LBN Legal business name | SQUAREONE COMPASSION INC |
| Authorized official | MATTHEW BLAIR - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 03/26/2020 |
| Last updated | 12/31/2021 - About 4 years ago |
| Identifiers | n/a |
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