Whitehead, Paul S
Whitehead, Paul S is an sole proprietor health care provider with primary practice located at 3200 West St , Canandaigua NY 14424-1722. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Whitehead, Paul S can be contacted via phone (585) 394-4846.Contact Information
Primary practice address
3200 West St
Canandaigua NY 14424-1722
Phone: (585) 394-4846
Fax: (585) 394-1309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 147416 | New York |
Profile Details
| NPI number | 1720081169 |
|---|---|
| LBN Legal business name | Whitehead, Paul S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Sep 27th, 2007 - about 18 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 | 1720081169 | NPPES |
| New York | MEDICAID | 00902685 |
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