Whitaker, Rodd Daniel

Whitaker, Rodd Daniel is an individual health care provider with primary practice located at 101 Professional Lane , Enterprise AL 36330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Whitaker, Rodd Daniel can be contacted via phone (334) 347-3404.

Contact Information

Primary practice address
101 Professional Lane Enterprise AL 36330
Phone: (334) 347-3404
Fax: (334) 393-0613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0000039214 Alabama

Profile Details

NPI number 1083664155
LBN Legal business name Whitaker, Rodd Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 9th, 2007 - about 19 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 1083664155 NPPES
Alabama Other 51001197 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 009932014 BLUE CROSS BLUE SHIELD

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