Whitfield, Alan

Whitfield, Alan is an individual health care provider with primary practice located at 1325 E Fortification St , Jackson MS 39202-2442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Whitfield, Alan can be contacted via phone (601) 949-9110.

Contact Information

Primary practice address
1325 E Fortification St Jackson MS 39202-2442
Phone: (601) 949-9110
Fax: (601) 949-9113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X PT1717 Mississippi

Profile Details

NPI number 1053334896
LBN Legal business name Whitfield, Alan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 18th, 2011 - about 14 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 1053334896 NPPES
Mississippi MEDICAID 07430508
Mississippi Other P00350407

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