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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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