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NPI Code Detail

MEDICARE: WORKPLACE OCCUPATIONAL & WELLNESS, INC.

MEDICARE: WORKPLACE OCCUPATIONAL & WELLNESS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center01024487IN
2261QP2300XPrimary Care Clinic/Center01024444IN
3261QP2300XPrimary Care Clinic/Center71000808AIN
4261QP2300XPrimary Care Clinic/Center71000212AIN
5261QP2300XPrimary Care Clinic/Center71000882AIN

General Provider Information

NPI Number : 1275850372
Entity Type Code : Organization
Provider Name (Legal Business Name) : WORKPLACE OCCUPATIONAL & WELLNESS, INC.
Provider Business Mailing Address
First Line : 2329 N MARR RD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-3445
Country : US
Telephone Number : 812-378-4511
Fax Number : 812-378-4512
Provider Business Practice Location Address
First Line : 2329 N MARR RD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-3445
Country : US
Telephone Number : 812-378-4511
Fax Number : 812-378-4512
Authorized Official
Title or Position : OWNER/NURSE PRACTITIONER
Name : KIMBERLY J. MILLS
Credential : FNP
Telephone Number : 812-378-4511
Provider Enumeration Date : 04/28/2010
Last Update Date : 04/28/2010

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Directions to “WORKPLACE OCCUPATIONAL & WELLNESS, INC. ” Practice Location

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