Healthcare Provider Details
I. General information
NPI: 1073851259
Provider Name (Legal Business Name): WORK FORCE EVALUATORS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2013
Last Update Date: 01/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3602 INLAND EMPIRE BLVD STE B120
ONTARIO CA
91764-4963
US
IV. Provider business mailing address
3602 INLAND EMPIRE BLVD STE B120
ONTARIO CA
91764-4963
US
V. Phone/Fax
- Phone: 909-697-8679
- Fax:
- Phone: 909-697-8679
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | DC30162 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
DIRK
HAMILTON
Title or Position: OWNER
Credential: D.C.
Phone: 909-697-8679