Provider Demographics
NPI:1073873840
Name:ON SITE HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:ON SITE HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBRINCAT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-894-4951
Mailing Address - Street 1:1100 OLD DAWSON VILLAGE RD E STE 10
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-3807
Mailing Address - Country:US
Mailing Address - Phone:770-894-4951
Mailing Address - Fax:770-992-3676
Practice Address - Street 1:1100 OLD DAWSON VILLAGE RD E STE 10
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-3807
Practice Address - Country:US
Practice Address - Phone:770-894-4951
Practice Address - Fax:770-992-3676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005518111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty