Whittaker, John Raymond
Whittaker, John Raymond is an individual health care provider with primary practice located at 27209 Lahser Rd Ste 224, Southfield MI 48034-8401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Whittaker, John Raymond can be contacted via phone (248) 423-0903.Contact Information
Primary practice address
27209 Lahser Rd Ste 224
Southfield MI 48034-8401
Phone: (248) 423-0903
Fax: (248) 423-0905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301039465 | Michigan |
Profile Details
| NPI number | 1568422566 |
|---|---|
| LBN Legal business name | Whittaker, John Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Feb 8th, 2017 - about 8 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 | 1568422566 | NPPES |
| Michigan | MEDICAID | 2120509 |
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