Whitworth, Jeffrey
Whitworth, Jeffrey is an sole proprietor health care provider with primary practice located at 1031 Mcbride Ave Suite D203, West Paterson NJ 07424-2559. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Whitworth, Jeffrey can be contacted via phone (973) 256-6350.Contact Information
Primary practice address
1031 Mcbride Ave Suite D203
West Paterson NJ 07424-2559
Phone: (973) 256-6350
Fax: (973) 256-7388
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MA063604 | New Jersey |
Profile Details
NPI number | 1144269440 |
---|---|
LBN Legal business name | Whitworth, Jeffrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 5th, 2006 |
Last updated | Jul 30th, 2010 - about 14 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 | 1144269440 | NPPES |
Other | 223812197 | HORIZON BCBS | |
Other | 60000896 | HORIZON BCBS | |
Other | P2145328 | HORIZON BCBS | |
Other | 0376198000 | HORIZON BCBS | |
Other | 31686 | HORIZON BCBS | |
Other | 2K3839 | HORIZON BCBS | |
Other | 2299410 | HORIZON BCBS | |
MEDICAID | 8050708 | HORIZON BCBS | |
Other | 2881489 | HORIZON BCBS | |
Other | 91000267201 | HORIZON BCBS |
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