Whitaker, Mark Camden
Whitaker, Mark Camden is an individual health care provider with primary practice located at 10100 E Shannon Woods St Suite 100, Wichita KS 67226-4104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Whitaker, Mark Camden can be contacted via phone (316) 219-8299.Contact Information
Primary practice address
10100 E Shannon Woods St Suite 100
Wichita KS 67226-4104
Phone: (316) 219-8299
Fax: (316) 219-5899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 0428407 | Kansas |
Profile Details
| NPI number | 1811979271 |
|---|---|
| LBN Legal business name | Whitaker, Mark Camden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Apr 5th, 2017 - about 7 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 | 1811979271 | NPPES |
| Other | 110848 | MEDICARE PTAN | |
| Other | 110848012 | MEDICARE PTAN | |
| MEDICAID | 200265940A | MEDICARE PTAN | |
| MEDICAID | 200265940R | MEDICARE PTAN |
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