Provider Demographics
NPI:1215323712
Name:OH&BC INC
Entity type:Organization
Organization Name:OH&BC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:POPPA
Authorized Official - Suffix:
Authorized Official - Credentials:DO, MBA
Authorized Official - Phone:913-345-0550
Mailing Address - Street 1:6700 SQUIBB RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3230
Mailing Address - Country:US
Mailing Address - Phone:913-345-0550
Mailing Address - Fax:913-403-8955
Practice Address - Street 1:6700 SQUIBB RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3230
Practice Address - Country:US
Practice Address - Phone:913-345-0550
Practice Address - Fax:913-403-8955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-18528261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine