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General NPI Number Information
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NPI Number | 1508354606
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Entity Type | Organization
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Legal Business Name | INTEGRATED OCCUPATIONAL HEALTH, LLC
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 14450 MEADOWS BLVD
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City | OMAHA
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State | NE
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Zip | 68138-3896
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Country | US
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Telephone | 402-502-1819
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Fax | 531-200-5533
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Provider Business Mailing Address
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Address Line | 4951 CENTER ST. SUITE LL
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City | OMAHA
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State | NE
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Zip | 68106-3251
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Country | US
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Telephone | 402-502-1819
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Fax | 402-502-2057
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | CARRIE K ERICKSON
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Credential |
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Telephone | 402-502-1819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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