Provider Demographics
NPI:1659621043
Name:ONSITE OCCUPATIONAL HEALTH & SAFETY, INC
Entity Type:Organization
Organization Name:ONSITE OCCUPATIONAL HEALTH & SAFETY, INC
Other - Org Name:ONSITE OHS INTERNATIONAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-385-8306
Mailing Address - Street 1:PO BOX 3276
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47731-3276
Mailing Address - Country:US
Mailing Address - Phone:812-491-1328
Mailing Address - Fax:812-492-6328
Practice Address - Street 1:FOB SHARANA BUILDING 660
Practice Address - Street 2:
Practice Address - City:SHARANA
Practice Address - State:AFGHANISTAN
Practice Address - Zip Code:09311
Practice Address - Country:AF
Practice Address - Phone:931-472-4398
Practice Address - Fax:812-473-5822
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONSITE OCCUPATIONAL HEALTH & SAFETY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty