Whitaker, Michael S.
Whitaker, Michael S. is an individual health care provider with primary practice located at 4500 Stuart St. , Ft Jackson SC 29207-5720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Whitaker, Michael S. can be contacted via phone (803) 251-6789.Contact Information
Primary practice address
4500 Stuart St.
Ft Jackson SC 29207-5720
Phone: (803) 251-6789
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 309 | South Carolina |
Profile Details
| NPI number | 1366569089 |
|---|---|
| LBN Legal business name | Whitaker, Michael S. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 13th, 2008 - 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 | 1366569089 | NPPES |
| South Carolina | Other | 309 | SC NURSING LICENSE FOR ADVANCED PRACTICE |
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