Whitted, William Dale
Whitted, William Dale is an sole proprietor health care provider with primary practice located at 1036 W Robinhood Dr Suite 105, Stockton CA 95207-5623. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Whitted, William Dale can be contacted via phone (209) 951-3693.Contact Information
Primary practice address
1036 W Robinhood Dr Suite 105
Stockton CA 95207-5623
Phone: (209) 951-3693
Fax: (209) 951-4711
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 5969T | California |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 5969T | California |
Profile Details
NPI number | 1013096122 |
---|---|
LBN Legal business name | Whitted, William Dale |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 2nd, 2006 |
Last updated | Aug 31st, 2007 - about 17 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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