Whiteside, Jim Hayes

Whiteside, Jim Hayes is an sole proprietor health care provider with primary practice located at 1004 Glenview Dr , Glasgow KY 42141-3424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Whiteside, Jim Hayes can be contacted via phone (270) 651-9611.

Contact Information

Primary practice address
1004 Glenview Dr Glasgow KY 42141-3424
Phone: (270) 651-9611
Fax: (270) 651-9298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18627 Kentucky

Profile Details

NPI number 1346214939
LBN Legal business name Whiteside, Jim Hayes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Mar 29th, 2016 - 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 1346214939 NPPES
Kentucky MEDICAID 64186273
Kentucky Other 000000048056
Kentucky Other 408013739

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