Whitaker, Laura Leanne
Whitaker, Laura Leanne is an individual health care provider with primary practice located at 22894 Us Highway 72 , Athens AL 35613. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Whitaker, Laura Leanne can be contacted via phone (256) 232-2409.Contact Information
Primary practice address
22894 Us Highway 72
Athens AL 35613
Phone: (256) 232-2409
Fax: (256) 232-2402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S889TA445 | Alabama |
Profile Details
| NPI number | 1710967609 |
|---|---|
| LBN Legal business name | Whitaker, Laura Leanne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Mar 14th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710967609 | NPPES |
| Alabama | Other | 4835600001 | DME |
| Alabama | MEDICAID | 51514732 | DME |
| Alabama | Other | 51514732 | DME |
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