Provider Demographics
NPI:1588656680
Name:WORK CHOICES
Entity Type:Organization
Organization Name:WORK CHOICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:L
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:QRP
Authorized Official - Phone:304-343-6016
Mailing Address - Street 1:315 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25302-3136
Mailing Address - Country:US
Mailing Address - Phone:304-343-6016
Mailing Address - Fax:304-345-7411
Practice Address - Street 1:315 WILDWOOD DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25302-3136
Practice Address - Country:US
Practice Address - Phone:304-343-6016
Practice Address - Fax:304-345-7411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV034354251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1029-8295OtherWV STATE TAX COMMISSIONER
WV1029-8295OtherWV STATE TAX COMMISSIONER