Whitwam, Paul R.

Whitwam, Paul R. is an individual health care provider with primary practice located at 601 W Country Club Rd Suite #102, Roswell NM 88201-5224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Whitwam, Paul R. can be contacted via phone (575) 623-3333.

Contact Information

Primary practice address
601 W Country Club Rd Suite #102 Roswell NM 88201-5224
Phone: (575) 623-3333
Fax: (575) 624-4781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 73-226 New Mexico

Profile Details

NPI number 1912950122
LBN Legal business name Whitwam, Paul R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912950122 NPPES
New Mexico MEDICAID 21977364

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