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INDEPENDENCE HEALTH LLC NPI 1477208643


NPI Information

NPI: 1477208643
Provider Name: INDEPENDENCE HEALTH LLC
Classification: Preventive Medicine - 2083X0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 36D2251549

Address:
5757 MONCLOVA RD STE 17
MAUMEE, OH
ZIP 43537
Phone: (419) 891-8003
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INDEPENDENCE HEALTH LLC is an occupational medicine preventive medicine in Maumee, OH. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. INDEPENDENCE HEALTH LLC NPI is 1477208643. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5757 MONCLOVA RD STE 17
MAUMEE, OH
ZIP 43537-863
Phone: (419) 891-8003
Fax: (419) 891-8048

The provider's authorized official is Mike M Ariss .
The authorized official title is Ceo and has the following contact phone number (248) 904-6237.

The CLIA number assigned to this NPI record is 36D2251549 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2022 and was last updated on 2/16/2022.


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
12083X0100XPreventive MedicineOccupational MedicineYes

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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