Organization
HOUSE CALL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED W FAULL M.D. (SOLE MEMBER)
(330) 272-9840
Entity
Organization
Contact information
Practice address
150 OVERHILL RD, YOUNGSTOWN, OH 44512-1455
(330) 272-9840
(330) 423-0421
Mailing address
PO BOX 14397, YOUNGSTOWN, OH 44514-7397
(330) 758-2775
(330) 758-2787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.091967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3007696
—
OH
01
—
35.091967
LICENSE
OH
Enumeration date
10/14/2008
Last updated
02/22/2011
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