Whitton, Gerald Brent
Whitton, Gerald Brent is an individual health care provider with primary practice located at 2510 Bert Kouns Industrial Loop Ste 215 , Shreveport LA 71118-3119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Whitton, Gerald Brent can be contacted via phone (318) 212-5970.Contact Information
Primary practice address
2510 Bert Kouns Industrial Loop Ste 215
Shreveport LA 71118-3119
Phone: (318) 212-5970
Fax: (318) 212-5975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 024459 | Louisiana |
Profile Details
| NPI number | 1285666487 |
|---|---|
| LBN Legal business name | Whitton, Gerald Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jun 17th, 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 | 1285666487 | NPPES |
| Louisiana | MEDICAID | 1572179 |
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