Charles P House Sr DO
Organization Active NPI Family Medicine Physician · Clyde, OH
NPI 1497724140 · NPPES record last updated Feb 23, 2015
Key facts
- NPI
- 1497724140
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CHARLES P HOUSE SR DO
- Practice address
- 700 W Maple St
Clyde, OH 43410-1414 - Phone
- (419) 547-0584
- Fax
- (419) 547-8918
- NPI assigned
- Mar 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles P House Sr., DO
- Title
- President
- Phone
- (419) 547-0584
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Charles P House Sr DO
Locations
700 W Maple St
Clyde, OH 43410
Phone (419) 547-0584
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
700 W Maple St
Clyde, OH 43410-1414
Mailing address
PO Box 179
Bellevue, OH 44811-0179
Phone (440) 274-5035
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603819300 | Other | OH | DEPT OF LABOR |
| DC6183 | Other | OH | RAILROAD MEDICARE |
Other providers in Clyde, OH
- Anita L Byers
- Brandi L Carter
- Sheila Rene' Caster
- Valerie J Castillo
- Cedar Point Care & Rehabilitation LLC
- Bobby Oburn Clark
- Tara Clark
- Clyde Al, LLC
- Clyde-Green Springs Exempted Village School District
- Raymond M Colavincenzo
All providers in Clyde, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.