Basic Information
Provider Information
NPI: 1720672397
EntityType: 2
ReplacementNPI:  
OrganizationName: HEALTH CALLS PLLC
LastName:  
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Credential:  
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Mailing Information
Address1: 978 CLINTON AVE S
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146202040
CountryCode: US
TelephoneNumber: 5855761001
FaxNumber:  
Practice Location
Address1: 159 MAIN ST STE 100
Address2:  
City: NASHUA
State: NH
PostalCode: 030602725
CountryCode: US
TelephoneNumber: 5855761001
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/24/2021
LastUpdateDate: 02/24/2021
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: JACKSON
AuthorizedOfficialFirstName: CARNEL
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5855761001
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: NP
NPICertificationDate: 02/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QP2300X  Y Ambulatory Health Care FacilitiesClinic/CenterPrimary Care

No ID Information.


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