| Ethos House Calls Practice | |
|
7337 Old Camp Rd Lanexa VA 23089-5133 | |
| (757) 719-0621 | |
| Not Available |
| Full Name | Ethos House Calls Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7337 Old Camp Rd, Lanexa, Virginia |
| Authorized Official Name and Position | Joan Elizabeth Benton (NP) |
| Authorized Official Contact | 7577190621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos House Calls Practice 7337 Old Camp Rd Lanexa VA 23089-5133 Ph: (757) 719-0621 | Ethos House Calls Practice 7337 Old Camp Rd Lanexa VA 23089-5133 Ph: (757) 719-0621 |
| NPI Number | 1558049429 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558049429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |