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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