Healthcare Provider Details
I. General information
NPI: 1003923533
Provider Name (Legal Business Name): HOUSE CALL MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/23/2006
Last Update Date: 02/20/2009
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
- Phone: 804-744-5050
- Fax: 804-744-8811
- Phone: 804-744-5050
- Fax: 804-744-8811
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOHN
E
GEHMAN
SR.
Title or Position: PHYSICIAN
Credential: MD
Phone: 804-744-5050