| House Call Md Llc | |
|
150 Overhill Rd Youngstown OH 44512-1455 | |
| (330) 272-9840 | |
| (330) 423-0421 |
| Full Name | House Call Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 150 Overhill Rd, Youngstown, Ohio |
| Authorized Official Name and Position | Ted W Faull (SOLE MEMBER) |
| Authorized Official Contact | 3302729840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Call Md Llc Po Box 14397 Youngstown OH 44514-7397 Ph: (330) 758-2775 | House Call Md Llc 150 Overhill Rd Youngstown OH 44512-1455 Ph: (330) 272-9840 |
| NPI Number | 1356593065 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 02/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356593065 | NPI | - | NPPES |
| 3007696 | Medicaid | OH | |
| 35.091967 | Other | OH | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.091967 (Ohio) | Primary |
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