Whipple, David C

Whipple, David C is an sole proprietor health care provider with primary practice located at 1820 Memorial Dr Ste 203 , Clarksville TN 37043. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Whipple, David C can be contacted via phone (859) 699-1963.

Contact Information

Primary practice address
1820 Memorial Dr Ste 203 Clarksville TN 37043
Fax: (931) 443-0125
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6631 Tennessee

Profile Details

NPI number 1447306485
LBN Legal business name Whipple, David C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated May 29th, 2018 - about 7 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 1447306485 NPPES
Kentucky MEDICAID 7100285570
Kentucky MEDICAID 30615058

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