1144342999 NPI number — DR. OSBERT MARK APPLEWHAITE M.D.,MPH

Table of content: DR. OSBERT MARK APPLEWHAITE M.D.,MPH (NPI 1144342999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144342999 NPI number — DR. OSBERT MARK APPLEWHAITE M.D.,MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
APPLEWHAITE
Provider First Name:
OSBERT
Provider Middle Name:
MARK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.,MPH
Provider Gender Code:
M

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:
1144342999
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/31/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
OCCUPATIONAL HEALTH UNIT Z73
Provider Second Line Business Mailing Address:
DIA, BOLLING AFB, 200 MCDILL BLVD.
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20340-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-231-1642
Provider Business Mailing Address Fax Number:
202-231-3219

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
OCCUPATIONAL HEALTH UNIT Z73
Provider Second Line Business Practice Location Address:
DIA, BOLLING AFB, 200 MCDILL BLVD.
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20340-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-231-1642
Provider Business Practice Location Address Fax Number:
202-231-3219
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2083X0100X , with the licence number:  MD10532 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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