Whitehead, Dennis C

Whitehead, Dennis C is an individual health care provider with primary practice located at 1721 S Stephenson Ave , Iron Mountain MI 49801-3637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Whitehead, Dennis C can be contacted via phone (906) 774-1313.

Contact Information

Primary practice address
1721 S Stephenson Ave Iron Mountain MI 49801-3637
Phone: (906) 774-1313
Fax: (906) 774-5639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301038973 Michigan

Profile Details

NPI number 1659358547
LBN Legal business name Whitehead, Dennis C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 10th, 2012 - about 13 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 1659358547 NPPES
Michigan Other 930033054 RR MEDICARE
Michigan MEDICAID 1936052 RR MEDICARE
Michigan Other 0102200331 RR MEDICARE
Michigan MEDICAID 31656600 RR MEDICARE

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