Organization
BI-STATE OCCUPATIONAL SAFETY & HEALTH
Active
Other names
BIOSH
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CARABBA PAC (PRESIDENT)
(509) 783-8100
Entity
Organization
Contact information
Practice address
4303 W 27TH AVE STE D, KENNEWICK, WA 99338-1986
(509) 783-8100
(509) 783-8104
Mailing address
4303 W 27TH AVE STE D, KENNEWICK, WA 99338-1986
(509) 783-8100
(509) 783-8104
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
602092220
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447343967
NPI
WA
01
—
176451
WA LABOR & IINDUSTRIES IME
WA
01
—
1861656902
NPI
WA
01
—
7360UN
BLUE SHIELD
WA
Enumeration date
03/09/2010
Last updated
03/09/2010
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