Whitworth, John R
Whitworth, John R is an individual health care provider with primary practice located at 806 Estate Pl , Memphis TN 38120-0600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Whitworth, John R can be contacted via phone (901) 681-4017.Contact Information
Primary practice address
806 Estate Pl
Memphis TN 38120-0600
Phone: (901) 681-4017
Fax: (901) 681-4013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 34143 | Tennessee |
Profile Details
| NPI number | 1699707638 |
|---|---|
| LBN Legal business name | Whitworth, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1699707638 | NPPES |
| Arkansas | Other | 98990 | BLUE CROSS |
| Arkansas | MEDICAID | 02724221 | BLUE CROSS |
| Arkansas | Other | 4128673 | BLUE CROSS |
| Arkansas | MEDICAID | 3387689 | BLUE CROSS |
| Arkansas | Other | H41886 | BLUE CROSS |
| Arkansas | MEDICAID | 19169 | BLUE CROSS |
| Arkansas | MEDICAID | 4128673 | BLUE CROSS |
| Arkansas | MEDICAID | 185482 | BLUE CROSS |
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