MISSOURI OCCUPATIONAL MEDICINE; NPI #1972369619

Contact Information

MISSOURI OCCUPATIONAL MEDICINE

1 W 12TH ST
WASHINGTON, MO 63090-4416

Phone: 636-239-0735
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Corporate Health	261QC1800X

Indicates primary specialty

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NPI Profile & details for MISSOURI OCCUPATIONAL MEDICINE

NPI #	`1972369619`
LBN Legal business name	MISSOURI OCCUPATIONAL MEDICINE
Authorized official	BOBBY ENKVETCHAKUL - (PHYSICIAN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/21/2024
Last updated	02/21/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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