Healthcare Provider Details

I. General information

NPI: 1659590164
Provider Name (Legal Business Name): VOCWORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 SEASONS PASS DR
BRUNSWICK OH
44212-4753
US

IV. Provider business mailing address

875 SEASONS PASS DR
BRUNSWICK OH
44212-4753
US

V. Phone/Fax

Practice location:
  • Phone: 330-273-9171
  • Fax:
Mailing address:
  • Phone: 330-273-9171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number30172139500
License Number StateOH

VIII. Authorized Official

Name: LT NICHOLS
Title or Position: CEO
Credential: CRC
Phone: 888-627-7586