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Organization
TWO BROTHERS ENTERPRISES INC
Active
Organization
TWO BROTHERS ENTERPRISES INC
Active
Other names
Independence Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
LENORE A CARVER (OFFICE MANAGER)
(216) 573-1300
Entity
Organization
Contact information
Practice address
4400 ROCKSIDE RD, SUITE 2100, INDEPENDENCE, OH 44131-2168
(216) 573-1300
(216) 503-5005
Mailing address
4400 ROCKSIDE RD, SUITE 2100, INDEPENDENCE, OH 44131-2168
(216) 573-1300
(216) 503-5005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000590089
ANTHEM BLUE SHIELD
OH
05
—
2878060
—
OH
Enumeration date
09/10/2008
Last updated
09/16/2020
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