Provider Demographics
NPI:1508354606
Name:INTEGRATED OCCUPATIONAL HEALTH, LLC
Entity Type:Organization
Organization Name:INTEGRATED OCCUPATIONAL HEALTH, LLC
Other - Org Name:INTEGRATED REHAB, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-502-1819
Mailing Address - Street 1:4951 CENTER ST.
Mailing Address - Street 2:SUITE LL
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3251
Mailing Address - Country:US
Mailing Address - Phone:402-502-1819
Mailing Address - Fax:402-502-2057
Practice Address - Street 1:14450 MEADOWS BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68138-3896
Practice Address - Country:US
Practice Address - Phone:402-502-1819
Practice Address - Fax:531-200-5533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty