Whitehead, Robert D

Whitehead, Robert D is an individual health care provider with primary practice located at 5040 Forest Dr Suite 300, New Albany OH 43054-8181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Whitehead, Robert D can be contacted via phone (614) 890-6555.

Contact Information

Primary practice address
5040 Forest Dr Suite 300 New Albany OH 43054-8181
Phone: (614) 890-6555
Fax: (614) 775-1484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35-062312 Ohio

Profile Details

NPI number 1700863388
LBN Legal business name Whitehead, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Mar 7th, 2017 - about 8 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 1700863388 NPPES
Ohio MEDICAID 0995571

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