Whitehead, Raymond Y
Whitehead, Raymond Y is an individual health care provider with primary practice located at 103 Medical Park Fl 2 , Hattiesburg MS 39401-9042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Whitehead, Raymond Y can be contacted via phone (601) 268-5630.Contact Information
Primary practice address
103 Medical Park Fl 2
Hattiesburg MS 39401-9042
Phone: (601) 268-5630
Fax: (601) 579-3285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 17154 | Mississippi |
Profile Details
| NPI number | 1962512525 |
|---|---|
| LBN Legal business name | Whitehead, Raymond Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | May 9th, 2024 - about 6 months 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 | 1962512525 | NPPES |
| Mississippi | MEDICAID | 00123887 | |
| Mississippi | Other | 1559341 | |
| Mississippi | MEDICAID | 1595152 |
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