Whitaker, Robert T.

Whitaker, Robert T. is an individual health care provider with primary practice located at 7941 Broad River Rd , Irmo SC 29063-2358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Whitaker, Robert T. can be contacted via phone (803) 252-1816.

Contact Information

Primary practice address
7941 Broad River Rd Irmo SC 29063-2358
Phone: (803) 252-1816
Fax: (803) 252-9132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18808 South Carolina

Profile Details

NPI number 1134102718
LBN Legal business name Whitaker, Robert T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 12th, 2019 - about 6 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 1134102718 NPPES
South Carolina MEDICAID 188086

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