Whitehead, Daniel Wright

Whitehead, Daniel Wright is an individual health care provider with primary practice located at 350 W Columbia St Suite 420, Evansville IN 47710-1782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Whitehead, Daniel Wright can be contacted via phone (812) 422-3254.

Contact Information

Primary practice address
350 W Columbia St Suite 420 Evansville IN 47710-1782
Phone: (812) 422-3254
Fax: (812) 426-6388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01027897A Indiana

Profile Details

NPI number 1336136324
LBN Legal business name Whitehead, Daniel Wright
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jun 11th, 2014 - about 10 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 1336136324 NPPES
Kentucky MEDICAID 64759897
Kentucky Other 300017751
Kentucky MEDICAID 100338790
Kentucky Other P00173757
Kentucky Other P00356436

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