Provider Demographics
NPI:1154614410
Name:OCCUPATIONAL HEALTH SOLUTIONS, LLC
Entity type:Organization
Organization Name:OCCUPATIONAL HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BERKEMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-468-1371
Mailing Address - Street 1:9005 RESERVE DR
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-7512
Mailing Address - Country:US
Mailing Address - Phone:502-426-1170
Mailing Address - Fax:502-426-1177
Practice Address - Street 1:9005 RESERVE DR
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-7512
Practice Address - Country:US
Practice Address - Phone:502-426-1170
Practice Address - Fax:502-426-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare