Organization
PHYSICIANS' HEALTH GROUP, LLC
Active
Organization
PHYSICIANS' HEALTH GROUP, LLC
Active
Other names
Multicare Specialty Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN WEINERT (EXECUTIVE DIRECTOR)
(812) 485-1818
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE AVE, SUITE 200-A, EVANSVILLE, IN 47714-0100
(812) 485-1796
(812) 485-1790
Mailing address
3801 BELLEMEADE AVE, SUITE 200-A, EVANSVILLE, IN 47714-0100
(812) 485-1796
(812) 485-1790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01048785A
IN
363LF0000X
Family Nurse Practitioner
71001430A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK6067
RAILROAD MEDICARE
—
Enumeration date
03/10/2006
Last updated
04/20/2008
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