Provider Demographics
NPI:1174774517
Name:OCCUPATIONAL MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:OCCUPATIONAL MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:443-524-2737
Mailing Address - Street 1:4807 BENSON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-1530
Mailing Address - Country:US
Mailing Address - Phone:443-524-2737
Mailing Address - Fax:443-524-2741
Practice Address - Street 1:4807 BENSON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-1530
Practice Address - Country:US
Practice Address - Phone:443-524-2737
Practice Address - Fax:443-524-2741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty