Healthcare Provider Details

I. General information

NPI: 1003208687
Provider Name (Legal Business Name): EPS ON SITE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2015
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 S. 105TH ST.
EDWARDSVILLE KS
66111
US

IV. Provider business mailing address

1145 S. 105TH ST.
EDWARDSVILLE KS
66111
US

V. Phone/Fax

Practice location:
  • Phone: 913-636-9481
  • Fax:
Mailing address:
  • Phone: 913-636-9481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL WHEELER
Title or Position: PRESIDENT
Credential:
Phone: 913-422-0502