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
Fax: (402) 552-2367
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558343525 NPPES
Nebraska MEDICAID 47080542812

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