Healthcare Provider Details

I. General information

NPI: 1962188300
Provider Name (Legal Business Name): BSMH EMPLOYER SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 COMMONWEALTH DR STE 120
GREENVILLE SC
29615-4881
US

IV. Provider business mailing address

135 COMMONWEALTH DR STE 120
GREENVILLE SC
29615-4881
US

V. Phone/Fax

Practice location:
  • Phone: 864-675-4600
  • Fax:
Mailing address:
  • Phone: 864-675-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNE DUNNINGTON
Title or Position: VP
Credential:
Phone: 513-952-5000