Provider Demographics
NPI:1417180415
Name:ONSITE HEALTH, INC
Entity Type:Organization
Organization Name:ONSITE HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PRACTICE DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-922-6694
Mailing Address - Street 1:1050 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-4026
Mailing Address - Country:US
Mailing Address - Phone:652-486-2932
Mailing Address - Fax:650-412-9632
Practice Address - Street 1:1050 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-4026
Practice Address - Country:US
Practice Address - Phone:652-486-2932
Practice Address - Fax:650-412-9632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization