PEDIATRIC HOUSE CALL SOLUTIONS LLC NPI 1174928790

NPI Information

NPI: 1174928790
Provider Name: PEDIATRIC HOUSE CALL SOLUTIONS LLC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 07D2081397

Address:
167 CHERRY ST
SUITE 112
MILFORD, CT
ZIP 06460
Phone: (203) 893-5394
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PEDIATRIC HOUSE CALL SOLUTIONS LLC is a pediatrics nurse practitioner in Milford, CT. PEDIATRIC HOUSE CALL SOLUTIONS LLC NPI is 1174928790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

167 CHERRY ST
SUITE 112
MILFORD, CT
ZIP 06460-639
Phone: (203) 893-5394
Fax: (855) 766-3951

The provider's authorized official is Charles F Wetmore .
The authorized official title is Owner and has the following contact phone number (203) 893-5394.

The CLIA number assigned to this NPI record is 07D2081397 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2014 and was last updated on 10/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	002351	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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