Provider Demographics
NPI:1669620829
Name:PHYSICIANS HOUSE CALLS USA LLC
Entity type:Organization
Organization Name:PHYSICIANS HOUSE CALLS USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARSHELLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1317-773-5099
Mailing Address - Street 1:6814 ABERCON TRL
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-7192
Mailing Address - Country:US
Mailing Address - Phone:317-773-5099
Mailing Address - Fax:317-773-3010
Practice Address - Street 1:6814 ABERCON TRL
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-7192
Practice Address - Country:US
Practice Address - Phone:317-773-5099
Practice Address - Fax:317-773-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty