Occupational Industrial Health Services in Philadelphia - Sports Medicine
Occupational Industrial Health Services - NPI 1023026416
Occupational Industrial Health Services is a Sports Medicine in Philadelphia, Pennsylvania. Occupational Industrial Health Services practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Occupational Industrial Health Services is 1023026416. The last update date is 2020-08-22.
Occupational Industrial Health Services's current location address is 255 S. 17th Street, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155467049 and fax number 2155468646. The mailing address for Occupational Industrial Health Services is 255 S. 17th Street, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Occupational Industrial Health Services |
|---|---|
| Address | 255 S. 17th Street, Philadelphia, Pennsylvania |
| Phone Number | 2155467049 |
| Fax Number | 2155468646 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Nelson Allen Gregory |
| Credentials | M.D. |
| Telephone Number | 2155467049 |
NPI Number Detail
| NPI Number | 1023026416 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 255 S. 17th Street |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19103 |
| Phone Number | 2155467049 |
| Fax Number | 2155468646 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
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Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OS006039L | PA | LIZERBRAM | |
| BB8177152 | PA | BURCH | |
| DC006361L | PA | ALSTON | |
| MD004666E | PA | SPENCER |
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What is the Occupational Industrial Health Services's 1023026416?
The Occupational Industrial Health Services's NPI (National Provider Identifier) Number is 1023026416. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Occupational Industrial Health Services's specialty and taxonomy code?
The Occupational Industrial Health Services's specialty is Sports Medicine, and the corresponding taxonomy code is 207Rs0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023026416 to Occupational Industrial Health Services?
The Occupational Industrial Health Services received its 1023026416 assignment from the Centers for Medicare & Medicaid Services on 2006-08-03.
When was the Occupational Industrial Health Services's information last updated?
The Occupational Industrial Health Services's information was last updated on 2020-08-22.
When was the information pertaining to Occupational Industrial Health Services most recently updated or revised?
The details related to Occupational Industrial Health Services, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1982607784
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