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OCCUTRAN TREATMENT CENTER PLC NPI 1043358617


NPI Information

NPI: 1043358617
Provider Name: OCCUTRAN TREATMENT CENTER, PLC
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
174 MURRAY GUARD DR
SUITE D
JACKSON, TN
ZIP 38305
Phone: (731) 660-4916
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OCCUTRAN TREATMENT CENTER, PLC is a preventive medicine/occupational environmental medicine preventive medicine in Jackson, TN. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. OCCUTRAN TREATMENT CENTER, PLC NPI is 1043358617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

174 MURRAY GUARD DR
SUITE D
JACKSON, TN
ZIP 38305-742
Phone: (731) 660-4916
Fax: (731) 660-6759

The provider's authorized official is Kelvin Wren .
The authorized official title is Medical Director And Ceo and has the following contact phone number (731) 660-4916.

The enumeration date for this NPI number is 2/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine39598TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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