Whitaker, Duane C

Whitaker, Duane C is an individual health care provider with primary practice located at 271 Wyatt Way Ne Ste 108 , Bainbridge Island WA 98110-2873. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Whitaker, Duane C can be contacted via phone (206) 317-6911.

Contact Information

Primary practice address
271 Wyatt Way Ne Ste 108 Bainbridge Island WA 98110-2873
Phone: (206) 317-6911
Fax: (206) 317-6975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD0046124 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 12532 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 45899 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 12532 Arizona
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 45899 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD0046124 Washington

Profile Details

NPI number 1609847821
LBN Legal business name Whitaker, Duane C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 29th, 2020 - about 5 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 1609847821 NPPES
Arizona MEDICAID 976798

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