CARROLL OCCUPATIONAL HEALTH LLC NPI 1568064079

NPI Information

NPI: 1568064079
Provider Name: CARROLL OCCUPATIONAL HEALTH, LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 21D0960836

Address:
700B CORPORATE CENTER CT STE A
WESTMINSTER, MD
ZIP 21157
Phone: (410) 871-0470
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CARROLL OCCUPATIONAL HEALTH, LLC is an occupational medicine clinic center in Westminster, MD. CARROLL OCCUPATIONAL HEALTH, LLC NPI is 1568064079. The provider is registered as an organization entity type.

The provider's business location address is:

700B CORPORATE CENTER CT STE A
WESTMINSTER, MD
ZIP 21157-035
Phone: (410) 871-0470
Fax: (410) 871-0743

The provider's authorized official is Lisa Degitz .
The authorized official title is Operations Manager and has the following contact phone number (240) 566-3258.

The CLIA number assigned to this NPI record is 21D0960836 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2020 and was last updated on 11/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QC1800X	Clinic/Center	Corporate Health	No
2	261QP2000X	Clinic/Center	Physical Therapy	No
3	261QX0100X	Clinic/Center	Occupational Medicine	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0	OTHER		NOT APPLICABLE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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