Provider Demographics
NPI:1194059907
Name:BAYER HEALTHCARE, ANIMAL HEALTH DIV OHN
Entity type:Organization
Organization Name:BAYER HEALTHCARE, ANIMAL HEALTH DIV OHN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL HEALTH NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:NANNEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:913-268-2731
Mailing Address - Street 1:12809 W 63RD
Mailing Address - Street 2:PO 390
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66219
Mailing Address - Country:US
Mailing Address - Phone:913-268-2731
Mailing Address - Fax:913-268-2725
Practice Address - Street 1:12809 W 63RD ST
Practice Address - Street 2:PO 390
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-1848
Practice Address - Country:US
Practice Address - Phone:913-268-2731
Practice Address - Fax:913-268-2725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-58087-042261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health