Provider Demographics
NPI:1831340751
Name:OH & BC INC
Entity type:Organization
Organization Name:OH & BC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:POPPA
Authorized Official - Suffix:SR
Authorized Official - Credentials:DO MBA
Authorized Official - Phone:913-345-0550
Mailing Address - Street 1:6700 SQUIBB RD.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202
Mailing Address - Country:US
Mailing Address - Phone:913-345-0550
Mailing Address - Fax:913-403-8955
Practice Address - Street 1:6700 SQUIBB RD.
Practice Address - Street 2:SUITE 105
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202
Practice Address - Country:US
Practice Address - Phone:913-345-0550
Practice Address - Fax:913-403-8955
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OH & BC INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18528202C00000X
KSKS185282083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical ExaminerGroup - Multi-Specialty