MEDICARE: WORK HEALTH SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0	OTHER		NONE

General Provider Information

NPI Number	:	1669931317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORK HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	8523 E 11TH ST STE A
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74112-7963
Country	:	US
Telephone Number	:	918-609-1600
Fax Number	:	918-609-1319

Provider Business Practice Location Address
First Line	:	8523 E 11TH ST STE A
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74112-7963
Country	:	US
Telephone Number	:	918-609-1600
Fax Number	:	918-609-1319

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JEREMY P GREEN
Credential	:
Telephone Number	:	918-609-1600

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	03/12/2019

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Directions to “WORK HEALTH SOLUTIONS LLC ” Practice Location

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