PROACTIVE OCCUPATIONAL MEDICINE INC. NPI 1043625213

NPI Information

NPI: 1043625213
Provider Name: PROACTIVE OCCUPATIONAL MEDICINE, INC.
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
800 WHEELING AVE
SUITE 1W
GLEN DALE, WV
ZIP 26038
Phone: (740) 961-8275
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PROACTIVE OCCUPATIONAL MEDICINE, INC. is an occupational medicine clinic center in Glen Dale, WV. PROACTIVE OCCUPATIONAL MEDICINE, INC. NPI is 1043625213. The provider is registered as an organization entity type.

The provider's business location address is:

800 WHEELING AVE
SUITE 1W
GLEN DALE, WV
ZIP 26038-660
Phone: (740) 961-8275

The provider's authorized official is Jeffrey Brown .
The authorized official title is Ceo and has the following contact phone number (740) 574-1770.

The enumeration date for this NPI number is 6/26/2014 and was last updated on 6/26/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine			Yes

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

NPI Synchronization or Removal

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