Erica Berger

Individual provider Active NPI Case Manager/Care Coordinator · Powell, OH

NPI 1942633151 · NPPES record last updated Aug 12, 2013

Key facts

NPI
1942633151
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
2105493 (OH)
Practice address
1715 Carriage Rd
Powell, OH 43065-8575
Phone
(614) 560-4014
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2105493OHMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 2105493 OH Yes

Addresses

Primary practice location

1715 Carriage Rd
Powell, OH 43065-8575

Mailing address

1715 Carriage Rd
Powell, OH 43065-8575
Phone (614) 560-4014

Other providers in Powell, OH

All providers in Powell, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.