Provider Demographics
NPI:1538324652
Name:PHYSICIAN'S HOUSE CALL SERVICES, PA
Entity Type:Organization
Organization Name:PHYSICIAN'S HOUSE CALL SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:REICHENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-870-2703
Mailing Address - Street 1:3419 52ND AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34210-3253
Mailing Address - Country:US
Mailing Address - Phone:941-928-3127
Mailing Address - Fax:941-755-4017
Practice Address - Street 1:3419 52ND AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-3253
Practice Address - Country:US
Practice Address - Phone:941-928-3127
Practice Address - Fax:941-755-4017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9102767251E00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
No251E00000XAgenciesHome Health