Whitaker, John William
Whitaker, John William is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Whitaker, John William can be contacted via phone (928) 729-8000.Contact Information
Primary practice address
Corner Of Route N12 And N7
Fort Defiance AZ 86504
Phone: (928) 729-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO1711 | Nevada |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TL4235 | Wyoming |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2667871204 | Utah |
Profile Details
| NPI number | 1730228917 |
|---|---|
| LBN Legal business name | Whitaker, John William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | May 5th, 2022 - about 3 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 | 1730228917 | NPPES |
| Utah | MEDICAID | D0234 | |
| Utah | MEDICAID | 1730228917 |
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