Healthcare Provider Details

I. General information

NPI: 1144342999
Provider Name (Legal Business Name): OSBERT MARK APPLEWHAITE M.D.,MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 12/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OCCUPATIONAL HEALTH UNIT Z73 DIA, BOLLING AFB, 200 MCDILL BLVD.
WASHINGTON DC
20340-0001
US

IV. Provider business mailing address

OCCUPATIONAL HEALTH UNIT Z73 DIA, BOLLING AFB, 200 MCDILL BLVD.
WASHINGTON DC
20340-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-231-1642
  • Fax: 202-231-3219
Mailing address:
  • Phone: 202-231-1642
  • Fax: 202-231-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD10532
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: