Whitaker, Daniel Lee

Whitaker, Daniel Lee is an individual health care provider with primary practice located at 600 Mary St , Evansville IN 47710-1674. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Whitaker, Daniel Lee can be contacted via phone (812) 450-2240.

Contact Information

Primary practice address
600 Mary St Evansville IN 47710-1674
Phone: (812) 450-2240
Fax: (812) 450-2710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28069763A Indiana

Profile Details

NPI number 1912992124
LBN Legal business name Whitaker, Daniel Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jan 10th, 2017 - about 8 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 1912992124 NPPES
Indiana MEDICAID 100383050
Indiana Other 000000249974

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