Whisenant, Justin T
Whisenant, Justin T is an individual health care provider with primary practice located at 6500 38Th Ave N , St Petersburg FL 33710-1629. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Whisenant, Justin T can be contacted via phone (727) 384-1414.Contact Information
Primary practice address
6500 38Th Ave N
St Petersburg FL 33710-1629
Phone: (727) 384-1414
Fax: (727) 345-8075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 2011015524 | Missouri |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | N4199 | Texas |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD2022-1392 | New Mexico |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | FW1856371 | Colorado |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME128898 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME128898 | Florida |
Profile Details
| NPI number | 1164602926 |
|---|---|
| LBN Legal business name | Whisenant, Justin T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Jun 29th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164602926 | NPPES |
| Florida | MEDICAID | 018604800 | |
| Florida | Other | M9519 |
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