Provider Demographics
NPI:1780836056
Name:ALPHA AND OMEGA STAFFING SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ALPHA AND OMEGA STAFFING SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:SHEARER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:937-408-2829
Mailing Address - Street 1:6276 LONDON PLATTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:OH
Mailing Address - Zip Code:45368-8801
Mailing Address - Country:US
Mailing Address - Phone:937-408-2829
Mailing Address - Fax:937-284-8186
Practice Address - Street 1:6276 LONDON PLATTSBURG RD
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:OH
Practice Address - Zip Code:45368-8801
Practice Address - Country:US
Practice Address - Phone:937-408-2829
Practice Address - Fax:937-284-8186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-18
Last Update Date:2008-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation