Healthcare Provider Details

I. General information

NPI: 1184913170
Provider Name (Legal Business Name): OBJECTIVE STAFFING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 03/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1164 JAMES SAVAGE RD SUITE C
MIDLAND MI
48640-6843
US

IV. Provider business mailing address

1164 JAMES SAVAGE RD SUITE C
MIDLAND MI
48640-6843
US

V. Phone/Fax

Practice location:
  • Phone: 248-767-7568
  • Fax: 734-418-1057
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201004576
License Number StateMI

VIII. Authorized Official

Name: GAURAV CHAWLA
Title or Position: CEO
Credential:
Phone: 248-767-7568