Whited, Brent William

Whited, Brent William is an individual health care provider with primary practice located at 2751 Northgate Dr , Iowa City IA 52245-9509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Whited, Brent William can be contacted via phone (319) 338-3606.

Contact Information

Primary practice address
2751 Northgate Dr Iowa City IA 52245-9509
Phone: (319) 338-3606
Fax: (319) 338-0522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 39003 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 39003 Iowa

Profile Details

NPI number 1659428530
LBN Legal business name Whited, Brent William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Oct 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659428530 NPPES
Iowa Other I75560006 MEDICARE
Iowa MEDICAID 1659428530 MEDICARE

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