CHARLES P HOUSE SR DO NPI 1497724140

NPI Information

NPI: 1497724140
Provider Name: CHARLES P HOUSE SR DO
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
700 W MAPLE ST
CLYDE, OH
ZIP 43410
Phone: (419) 547-0584
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CHARLES P HOUSE SR DO is a family medicine in Clyde, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHARLES P HOUSE SR DO NPI is 1497724140. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 W MAPLE ST
CLYDE, OH
ZIP 43410-414
Phone: (419) 547-0584
Fax: (419) 547-8918

The provider's authorized official is Charles P House .
The authorized official title is President and has the following contact phone number (419) 547-0584.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 2/23/2015.

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	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	OHIO	TRICARE
2	603819300	OTHER	OHIO	DEPT OF LABOR
3	DC6183	OTHER	OHIO	RAILROAD MEDICARE
4	H271240	MEDICARE PIN	OHIO
5	=========00	OTHER	OHIO	WORKERS COMP

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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