Whitehurst, Richard

Whitehurst, Richard is an individual health care provider with primary practice located at 1700 Center St , Mobile AL 36604-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Whitehurst, Richard can be contacted via phone (251) 415-1055.

Contact Information

Primary practice address
1700 Center St Mobile AL 36604-3301
Fax: (251) 415-1045
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 14210 Alabama

Profile Details

NPI number 1336189745
LBN Legal business name Whitehurst, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 12th, 2015 - about 9 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 1336189745 NPPES
Louisiana MEDICAID 1450740
Louisiana MEDICAID 0113590
Louisiana MEDICAID 000018906
Louisiana MEDICAID 255645600
Louisiana Other 47-10047
Louisiana Other 51018906

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