Whiteside, Kody
Whiteside, Kody is an individual health care provider with primary practice located at 204 W Hill Blvd , Joint Base Charleston SC 29404-4704. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Whiteside, Kody can be contacted via phone (843) 963-6880.Contact Information
Primary practice address
204 W Hill Blvd
Joint Base Charleston SC 29404-4704
Phone: (843) 963-6880
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
NPI number | 1689060311 |
---|---|
LBN Legal business name | Whiteside, Kody |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 9th, 2015 |
Last updated | Oct 12th, 2023 - about last year |
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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