| Doctors Home Visits | |
|
104 S First Suite B La Conner WA 98257-0840 | |
| (360) 466-2251 | |
| (360) 466-5673 |
| Full Name | Doctors Home Visits |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 104 S First, La Conner, Washington |
| Authorized Official Name and Position | Marcus Eric Kuypers (PRESIDENT) |
| Authorized Official Contact | 3604662251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Home Visits Po Box 850 104 S. First, Suite B La Conner WA 98257-0840 Ph: (360) 466-2251 | Doctors Home Visits 104 S First Suite B La Conner WA 98257-0840 Ph: (360) 466-2251 |
| NPI Number | 1205907789 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205907789 | NPI | - | NPPES |
| 7103674 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MD00019561 (Washington) | Primary |
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