Provider Demographics
NPI:1558302992
Name:HOUSECALL PRACTITIONERS INC.
Entity Type:Organization
Organization Name:HOUSECALL PRACTITIONERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOIRON
Authorized Official - Suffix:
Authorized Official - Credentials:ANP/GNP
Authorized Official - Phone:601-661-8400
Mailing Address - Street 1:3420 WISCONSIN AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39180-5384
Mailing Address - Country:US
Mailing Address - Phone:601-661-8400
Mailing Address - Fax:601-661-0048
Practice Address - Street 1:3420 WISCONSIN AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39180-5384
Practice Address - Country:US
Practice Address - Phone:601-661-8400
Practice Address - Fax:601-661-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty