Whiteside, Paul M.

Whiteside, Paul M. is an individual health care provider with primary practice located at 7223 Church St #C, Highland CA 92346-5869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Whiteside, Paul M. can be contacted via phone (909) 862-1191.

Contact Information

Primary practice address
7223 Church St #C Highland CA 92346-5869
Fax: (909) 796-4158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A35353 California

Profile Details

NPI number 1861432874
LBN Legal business name Whiteside, Paul M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1861432874 NPPES
California MEDICAID 00A353530

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