Whitted, Peter J
Whitted, Peter J is an individual health care provider with primary practice located at 4353 Dodge St , Omaha NE 68131-2709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Whitted, Peter J can be contacted via phone (402) 552-2020.Contact Information
Primary practice address
4353 Dodge St
Omaha NE 68131-2709
Phone: (402) 552-2020
Fax: (402) 552-2367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 15524 | Nebraska |
Profile Details
| NPI number | 1558343525 |
|---|---|
| LBN Legal business name | Whitted, Peter J |
| Credentials | M.D., J.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Sep 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558343525 | NPPES |
| Nebraska | MEDICAID | 47080542812 |
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