Whitacre, John Brennan Hunter
Whitacre, John Brennan Hunter is an individual health care provider with primary practice located at 2213 2Nd Street , Coralville IA 52241-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Whitacre, John Brennan Hunter can be contacted via phone (319) 358-2406.Contact Information
Primary practice address
2213 2Nd Street
Coralville IA 52241-1205
Phone: (319) 358-2406
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD-53201 | Iowa |
Profile Details
| NPI number | 1720603608 |
|---|---|
| LBN Legal business name | Whitacre, John Brennan Hunter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2020 |
| Last updated | Jul 5th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720603608 | NPPES |
| Iowa | Other | MD-53201 | PERMANENT LICENSE |
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