Organization
EASTSIDE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN B LENK MD (OWNER)
(440) 946-4070
Entity
Organization
Contact information
Practice address
36100 EUCLID AVE, #430, WILLOUGHBY, OH 44094-4456
(440) 946-4070
(440) 946-4071
Mailing address
PO BOX 22958, CLEVELAND, OH 44122-0958
(216) 595-9600
(216) 595-9601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0819663
—
OH
Enumeration date
10/27/2010
Last updated
05/09/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us