Provider Demographics
NPI:1659513075
Name:HOUSER, JON-ERIK (MD)
Entity Type:Individual
Prefix:DR
First Name:JON-ERIK
Middle Name:
Last Name:HOUSER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8266 ATLEE RD
Mailing Address - Street 2:MOB #2, SUITE 319
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-1804
Mailing Address - Country:US
Mailing Address - Phone:804-764-7965
Mailing Address - Fax:804-764-7969
Practice Address - Street 1:8266 ATLEE RD
Practice Address - Street 2:MOB #2, SUITE 319
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1804
Practice Address - Country:US
Practice Address - Phone:804-764-7965
Practice Address - Fax:804-764-7969
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101251170207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine