John R. Whittaker, M.D., Pllc

LBN: John R. Whittaker, M.D., Pllc
John R. Whittaker, M.D., Pllc is an health care organization with primary practice located at 20240 W 12 Mile Rd Suite 3, Southfield MI 48076-2426. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. John R. Whittaker, M.D., Pllc can be contacted via phone (248) 423-0903, or through Whittaker, John Raymond via phone (248) 423-0903.

Contact Information

Primary practice address
20240 W 12 Mile Rd Suite 3 Southfield MI 48076-2426
Phone: (248) 423-0903
Fax: (248) 423-0905
Website:
Map and Directions
Authorized official contact:
Name: Whittaker, John Raymond Doctor of Medicine (MD)
Phone: (248) 423-0903

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301039465 Michigan

Profile Details

NPI number 1114363108
LBN Legal business name John R. Whittaker, M.D., Pllc
DBA Doing business as
Authorized official Whittaker, John Raymond Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2013
Last updated May 16th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114363108 NPPES
Michigan MEDICAID 2120509

Popular Providers