Whitaker, Dorothy
Whitaker, Dorothy is an individual health care provider with primary practice located at 516 East Nizhoni Blvd. , Gallup NM 87301-1337. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Whitaker, Dorothy can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 East Nizhoni Blvd.
Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R067660 | Maryland |
Profile Details
| NPI number | 1386644052 |
|---|---|
| LBN Legal business name | Whitaker, Dorothy |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 18th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386644052 | NPPES |
| Maryland | MEDICAID | 401790100 |
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