Healthcare Provider Details

I. General information

NPI: 1356480065
Provider Name (Legal Business Name): OCCUPATIONAL HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 N WATER ST
MOBILE AL
36602-4011
US

IV. Provider business mailing address

PO BOX 11984
BIRMINGHAM AL
35202-1984
US

V. Phone/Fax

Practice location:
  • Phone: 251-431-5800
  • Fax: 251-431-5810
Mailing address:
  • Phone: 251-431-5800
  • Fax: 251-431-5810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT L. ROSS III
Title or Position: PRESIDENT
Credential: M.D., M.P.H.
Phone: 251-431-5802