Healthcare Provider Details

I. General information

NPI: 1346436797
Provider Name (Legal Business Name): HOUSECALLS OF VIRGINIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7323 BOULDER VIEW LN
RICHMOND VA
23225-4953
US

IV. Provider business mailing address

7323 BOULDER VIEW LN
RICHMOND VA
23225-4953
US

V. Phone/Fax

Practice location:
  • Phone: 804-245-4713
  • Fax: 804-744-8811
Mailing address:
  • Phone: 804-245-4713
  • Fax: 804-744-8811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM H. SNODGRASS
Title or Position: ADMINISTRATOR
Credential:
Phone: 804-745-0054