Healthcare Provider Details

I. General information

NPI: 1023342714
Provider Name (Legal Business Name): OCCUPATIONAL ENVIRONMENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 09/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3116 HARRISON AVE
EUREKA CA
95503-5638
US

IV. Provider business mailing address

3116 HARRISON AVE
EUREKA CA
95503-5638
US

V. Phone/Fax

Practice location:
  • Phone: 707-444-3885
  • Fax: 707-444-7843
Mailing address:
  • Phone: 707-444-3885
  • Fax: 707-444-7843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberC42437
License Number StateCA

VIII. Authorized Official

Name: DEE MCVAY
Title or Position: DIRECTOR
Credential:
Phone: 707-444-3885