Whitis, Matthew G

Whitis, Matthew G is an individual health care provider with primary practice located at 1229 C Ave E , Oskaloosa IA 52577-4246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Whitis, Matthew G can be contacted via phone (641) 672-3100.

Contact Information

Primary practice address
1229 C Ave E Oskaloosa IA 52577-4246
Phone: (641) 672-3100
Fax: (641) 672-3111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 26132 Iowa

Profile Details

NPI number 1114907573
LBN Legal business name Whitis, Matthew G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1114907573 NPPES
Iowa Other 10441 IA BC PROVIDER NUMBER
Iowa Other P00147874 IA BC PROVIDER NUMBER
Iowa MEDICAID 1037770 IA BC PROVIDER NUMBER

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