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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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