Whiting, Max

Whiting, Max is an individual health care provider with primary practice located at 510 Valley View Dr , Moline IL 61265-6133. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Whiting, Max can be contacted via phone (309) 762-9361.

Contact Information

Primary practice address
510 Valley View Dr Moline IL 61265-6133
Phone: (309) 762-9361
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 070023071 Illinois

Profile Details

NPI number 1336760529
LBN Legal business name Whiting, Max
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2020
Last updated May 16th, 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 1336760529 NPPES
Illinois Other 070023071 STATE LICENSE

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