Provider Demographics
NPI:1427283167
Name:WORKSITE CONSULTANTS
Entity type:Organization
Organization Name:WORKSITE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGDON
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:901-794-6563
Mailing Address - Street 1:4145 WILLOW LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-7028
Mailing Address - Country:US
Mailing Address - Phone:901-794-6563
Mailing Address - Fax:
Practice Address - Street 1:4145 WILLOW LAKE BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-7028
Practice Address - Country:US
Practice Address - Phone:901-794-6563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine