Whitehurst, Jeffrey Bray
Whitehurst, Jeffrey Bray is an sole proprietor health care provider with primary practice located at 112 Haven Drive Suite 1, Dothan AL 36301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Whitehurst, Jeffrey Bray can be contacted via phone (334) 671-5050.Contact Information
Primary practice address
112 Haven Drive Suite 1
Dothan AL 36301
Phone: (334) 671-5050
Fax: (334) 671-5070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 18421 | Alabama |
Profile Details
| NPI number | 1154316586 |
|---|---|
| LBN Legal business name | Whitehurst, Jeffrey Bray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Mar 18th, 2010 - about 14 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 | 1154316586 | NPPES |
| Alabama | MEDICAID | 051510147 | |
| Alabama | MEDICAID | 00793163B |
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