Whittaker, Robert

Whittaker, Robert is an individual health care provider with primary practice located at 10 W 3Rd St , Sterling IL 61081-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Whittaker, Robert can be contacted via phone (815) 625-4790.

Contact Information

Primary practice address
10 W 3Rd St Sterling IL 61081-3503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X Illinois

Profile Details

NPI number 1821178617
LBN Legal business name Whittaker, Robert
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821178617 NPPES
Illinois Other 045382 HEALTH ALLIANCE PLAN
Illinois Other 9815737 HEALTH ALLIANCE PLAN

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