Provider Demographics
NPI:1962889550
Name:DOCTORS AT YOUR DOOR SC
Entity type:Organization
Organization Name:DOCTORS AT YOUR DOOR SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-884-3447
Mailing Address - Street 1:2010 E COLUMBUS DR
Mailing Address - Street 2:
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-2830
Mailing Address - Country:US
Mailing Address - Phone:219-397-1951
Mailing Address - Fax:888-668-6550
Practice Address - Street 1:2010 E COLUMBUS DR
Practice Address - Street 2:
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-2830
Practice Address - Country:US
Practice Address - Phone:219-397-1951
Practice Address - Fax:888-668-6550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-03
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01043017A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty