Provider Demographics
NPI:1699078410
Name:WORKPLACE OCCUPATIONAL & WELLNESS, INC.
Entity type:Organization
Organization Name:WORKPLACE OCCUPATIONAL & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:812-378-4511
Mailing Address - Street 1:2329 N MARR RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-3445
Mailing Address - Country:US
Mailing Address - Phone:812-378-4511
Mailing Address - Fax:812-378-4512
Practice Address - Street 1:2329 N MARR RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-3445
Practice Address - Country:US
Practice Address - Phone:812-378-4511
Practice Address - Fax:812-378-4512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health