Whitten, Paul Alan
Whitten, Paul Alan is an individual health care provider with primary practice located at 875 Saint Francois St , Florissant MO 63031-4923. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Whitten, Paul Alan can be contacted via phone (314) 839-2400.Contact Information
Primary practice address
875 Saint Francois St
Florissant MO 63031-4923
Phone: (314) 839-2400
Fax: (314) 839-2403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2000160792 | Missouri |
Profile Details
| NPI number | 1467440008 |
|---|---|
| LBN Legal business name | Whitten, Paul Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Feb 10th, 2014 - about 10 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 | 1467440008 | NPPES |
| Missouri | Other | 109862A | BLUECROSS / BLUESHIELD |
| Missouri | Other | P00328959 | BLUECROSS / BLUESHIELD |
| Missouri | MEDICAID | 315059105 | BLUECROSS / BLUESHIELD |
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