Healthcare Provider Details

I. General information

NPI: 1952457855
Provider Name (Legal Business Name): INFIRMARY OCCUPATIONAL HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 04/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 US HWY 90 WEST
MOBILE AL
36619
US

IV. Provider business mailing address

PO BOX 322
MOBILE AL
36601-0322
US

V. Phone/Fax

Practice location:
  • Phone: 251-660-7676
  • Fax: 251-431-5810
Mailing address:
  • Phone: 251-660-7676
  • 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: WILLIAM E. ADMIRE JR.
Title or Position: PRESIDENT
Credential: D.O.
Phone: 251-435-4910