Whalen, John Martin

Whalen, John Martin is an individual health care provider with primary practice located at 1144 N Road St , Elizabeth City NC 27909-3353. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Whalen, John Martin can be contacted via phone (252) 335-0531.

Contact Information

Primary practice address
1144 N Road St Elizabeth City NC 27909-3353
Phone: (252) 335-0531
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 105476 North Carolina

Profile Details

NPI number 1053363812
LBN Legal business name Whalen, John Martin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 3rd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053363812 NPPES
North Carolina MEDICAID 8050633

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