Provider Demographics
NPI:1053442467
Name:HOUSE CALL DOCS CS LLC
Entity Type:Organization
Organization Name:HOUSE CALL DOCS CS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HALLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:719-632-8787
Mailing Address - Street 1:506 ORION DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-1015
Mailing Address - Country:US
Mailing Address - Phone:719-632-8787
Mailing Address - Fax:866-848-5096
Practice Address - Street 1:506 ORION DRIVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-1015
Practice Address - Country:US
Practice Address - Phone:719-632-8787
Practice Address - Fax:866-848-5096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45066207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC808189Medicare PIN
KSG94833Medicare UPIN