Healthcare Provider Details

I. General information

NPI: 1073736849
Provider Name (Legal Business Name): COSHOCTON OCCUPATIONAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 CHESTNUT ST
COSHOCTON OH
43812
US

IV. Provider business mailing address

646 CHESTNUT ST
COSHOCTON OH
43812
US

V. Phone/Fax

Practice location:
  • Phone: 740-622-3016
  • Fax: 740-622-9588
Mailing address:
  • Phone: 740-622-3016
  • Fax: 740-622-9588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. NICHOLAS VARRATI
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 740-622-3016