Whitacre, Ross
Whitacre, Ross is an individual health care provider with primary practice located at 10455 Orthopaedic Dr , Newburgh IN 47630-7955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Whitacre, Ross can be contacted via phone (812) 424-9291.Contact Information
Primary practice address
10455 Orthopaedic Dr
Newburgh IN 47630-7955
Phone: (812) 424-9291
Fax: (812) 421-2722
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 01063354A | Indiana |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 58416 | Tennessee |
Profile Details
NPI number | 1407970411 |
---|---|
LBN Legal business name | Whitacre, Ross |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2007 |
Last updated | Feb 24th, 2024 - 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 | 1407970411 | NPPES |
Indiana | MEDICAID | 200860410 | |
Indiana | Other | 000000518290 |
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