Whitesides, Daniel Baxter

Whitesides, Daniel Baxter is an individual health care provider with primary practice located at 1524 E Morehead St , Charlotte NC 28207-1606. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Whitesides, Daniel Baxter can be contacted via phone (704) 343-3400.

Contact Information

Primary practice address
1524 E Morehead St Charlotte NC 28207-1606
Phone: (704) 343-3400
Fax: (704) 343-3428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X North Carolina

Profile Details

NPI number 1013988104
LBN Legal business name Whitesides, Daniel Baxter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Mar 7th, 2023 - about 2 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 1013988104 NPPES
North Carolina Other 29445 MEDICAL BOARD LICENSE
North Carolina Other 200001185006 MEDICAL BOARD LICENSE

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