Whitten, Patrick E

Whitten, Patrick E is an individual health care provider with primary practice located at 1001 Main St Suite 200, Peoria IL 61606-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Whitten, Patrick E can be contacted via phone (309) 672-5682.

Contact Information

Primary practice address
1001 Main St Suite 200 Peoria IL 61606-1907
Fax: (309) 672-3147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036084941 Illinois

Profile Details

NPI number 1366438087
LBN Legal business name Whitten, Patrick E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 21st, 2009 - about 15 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 1366438087 NPPES
Illinois MEDICAID 036084941

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