1780868836 NPI number — CORPORATE HEALTH SOLUTIONS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780868836 NPI number — CORPORATE HEALTH SOLUTIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CORPORATE HEALTH SOLUTIONS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780868836
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/26/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8917 SOUTH OLD STATE RD
Provider Second Line Business Mailing Address:
STE 124
Provider Business Mailing Address City Name:
LEWIS CENTER
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43035
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-942-0142
Provider Business Mailing Address Fax Number:
740-657-1617

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
60 WESTERVIEW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTERVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43081-2682
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-942-0142
Provider Business Practice Location Address Fax Number:
740-657-1617
Provider Enumeration Date:
12/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HERRINGTON
Authorized Official First Name:
RYAN
Authorized Official Middle Name:
D
Authorized Official Title or Position:
VICE PRES
Authorized Official Telephone Number:
614-942-0142

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  35077264 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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