Whitney, Mark
Whitney, Mark is an individual health care provider with primary practice located at 1815 Mediterranean Dr Ste 103 , Sycamore IL 60178-3299. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Whitney, Mark can be contacted via phone (815) 981-4742.Contact Information
Primary practice address
1815 Mediterranean Dr Ste 103
Sycamore IL 60178-3299
Phone: (815) 981-4742
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085-005096 | Illinois |
Profile Details
NPI number | 1225445273 |
---|---|
LBN Legal business name | Whitney, Mark |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2014 |
Last updated | Dec 21st, 2021 - about 3 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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