Whitaker, Lee Carl

Whitaker, Lee Carl is an individual health care provider with primary practice located at 1901 9Th Street , St Thomas VI 00802-0000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Whitaker, Lee Carl can be contacted via phone (340) 777-1996.

Contact Information

Primary practice address
1901 9Th Street St Thomas VI 00802-0000
Phone: (340) 777-1996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD000035229 Tennessee
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 1625 Virgin Islands

Profile Details

NPI number 1508809625
LBN Legal business name Whitaker, Lee Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 9th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508809625 NPPES
Tennessee Other 1508809625 NPI
Tennessee MEDICAID 009911897 NPI

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