Whisenant, Brian K

Whisenant, Brian K is an individual health care provider with primary practice located at 5169 S Cottonwood St Bldg. 2, Suite 520, Murray UT 84107-6767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Whisenant, Brian K can be contacted via phone (801) 507-3500.

Contact Information

Primary practice address
5169 S Cottonwood St Bldg. 2, Suite 520 Murray UT 84107-6767
Phone: (801) 507-3500
Fax: (801) 507-3550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 3100162-1205 Utah

Profile Details

NPI number 1750359253
LBN Legal business name Whisenant, Brian K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 24th, 2012 - about 12 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 1750359253 NPPES
Other P00210847 RR MEDICARE
MEDICAID 002089137 RR MEDICARE
MEDICAID 120845400 RR MEDICARE
MEDICAID 805966100 RR MEDICARE
MEDICAID D3497 RR MEDICARE

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