Whitaker, John C
Whitaker, John C is an sole proprietor health care provider with primary practice located at 2713 S 74Th St Suite 408, Fort Smith AR 72903-5170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Whitaker, John C can be contacted via phone (479) 484-5646.Contact Information
Primary practice address
2713 S 74Th St Suite 408
Fort Smith AR 72903-5170
Phone: (479) 484-5646
Fax: (479) 242-2323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C-7165 | Arkansas |
Profile Details
| NPI number | 1467461764 |
|---|---|
| LBN Legal business name | Whitaker, John C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Apr 15th, 2011 - about 14 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 | 1467461764 | NPPES |
| Arkansas | MEDICAID | 115671001 |
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