Whittaker, Grant Tyler
Whittaker, Grant Tyler is an individual health care provider with primary practice located at 1348 South 18Th Street Suite 100, Fernandina Beach FL 32034-4755. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Whittaker, Grant Tyler can be contacted via phone (904) 261-0879.Contact Information
Primary practice address
1348 South 18Th Street Suite 100
Fernandina Beach FL 32034-4755
Phone: (904) 261-0879
Fax: (904) 277-7054
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD 30868 | Alabama |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME 105816 | Florida |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME105816 | Florida |
Profile Details
NPI number | 1073710992 |
---|---|
LBN Legal business name | Whittaker, Grant Tyler |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2007 |
Last updated | Aug 27th, 2014 - about 10 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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