Provider Demographics
NPI:1346543790
Name:CORPORATE HEALTH CONCEPTS, INC
Entity Type:Organization
Organization Name:CORPORATE HEALTH CONCEPTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:V
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-654-1553
Mailing Address - Street 1:PO BOX 901
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-2901
Mailing Address - Country:US
Mailing Address - Phone:304-654-1553
Mailing Address - Fax:484-485-7016
Practice Address - Street 1:1831 MARTHA RD
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-9653
Practice Address - Country:US
Practice Address - Phone:304-654-1553
Practice Address - Fax:484-485-7016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty