Whitley, Jessica J
Whitley, Jessica J is an individual health care provider with primary practice located at 36000 Euclid Ave , Willoughby OH 44094-4625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Whitley, Jessica J can be contacted via phone (440) 953-9600.Contact Information
Primary practice address
36000 Euclid Ave
Willoughby OH 44094-4625
Phone: (440) 953-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35086616 | Ohio |
Profile Details
| NPI number | 1477533180 |
|---|---|
| LBN Legal business name | Whitley, Jessica J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Apr 23rd, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477533180 | NPPES |
| Ohio | MEDICAID | 2596481 |
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