Whitehouse, Brandon Harold

Whitehouse, Brandon Harold is an individual health care provider with primary practice located at 1345 Mercer St , Princeton WV 24740-3033. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Whitehouse, Brandon Harold can be contacted via phone (304) 818-2222.

Contact Information

Primary practice address
1345 Mercer St Princeton WV 24740-3033
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 18-918 West Virginia

Profile Details

NPI number 1316680549
LBN Legal business name Whitehouse, Brandon Harold
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2022
Last updated Apr 15th, 2022 - about 3 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 1316680549 NPPES
West Virginia MEDICAID 764876480

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