Whitehead, John A

Whitehead, John A is an individual health care provider with primary practice located at 1055 N 500 W Suite 101, Provo UT 84604-3305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Whitehead, John A can be contacted via phone (801) 373-4366.

Contact Information

Primary practice address
1055 N 500 W Suite 101 Provo UT 84604-3305
Phone: (801) 373-4366
Fax: (801) 429-8191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3694731206 Utah

Profile Details

NPI number 1619935053
LBN Legal business name Whitehead, John A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 4th, 2023 - about last year

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 1619935053 NPPES
Utah Other S70943 UPIN
Utah MEDICAID 870281028000 UPIN

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