Whitaker, Susan
Whitaker, Susan is an sole proprietor health care provider with primary practice located at 888 Swift Blvd , Richland WA 99352-3514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Whitaker, Susan can be contacted via phone (509) 946-4611.Contact Information
Primary practice address
888 Swift Blvd
Richland WA 99352-3514
Phone: (509) 946-4611
Fax: (253) 838-6418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OP00001172 | Washington |
Profile Details
| NPI number | 1346289931 |
|---|---|
| LBN Legal business name | Whitaker, Susan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 2nd, 2020 - about 4 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 | 1346289931 | NPPES |
| Washington | MEDICAID | 1048529 | |
| Washington | Other | 0202707 | |
| Washington | Other | 3075WH |
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