Provider Demographics
NPI:1639339849
Name:PHYSICIANS OCCUPATIONAL HEALTH CARE
Entity Type:Organization
Organization Name:PHYSICIANS OCCUPATIONAL HEALTH CARE
Other - Org Name:WORKHEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE/BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-699-1663
Mailing Address - Street 1:PO BOX 21234
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48909-1234
Mailing Address - Country:US
Mailing Address - Phone:517-699-1663
Mailing Address - Fax:517-699-1850
Practice Address - Street 1:740 N WAVERLY RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2268
Practice Address - Country:US
Practice Address - Phone:517-327-5220
Practice Address - Fax:517-327-9597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty