Healthcare Provider Details

I. General information

NPI: 1548016017
Provider Name (Legal Business Name): MOBILE-MED WORK HEALTH SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 DAVIS DR BLDG 35
DURHAM NC
27709-0200
US

IV. Provider business mailing address

PO BOX 2264
GRANITE BAY CA
95746-2264
US

V. Phone/Fax

Practice location:
  • Phone: 877-899-9959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: DEAN FRIEDERS
Title or Position: CHIEF SOLUTIONS OFFICER
Credential:
Phone: 877-899-9959