Whitaker, Theodore M.

Whitaker, Theodore M. is an individual health care provider with primary practice located at 12140 Nall Ave Ste 100 , Overland Park KS 66209-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Whitaker, Theodore M. can be contacted via phone (816) 943-0406.

Contact Information

Primary practice address
12140 Nall Ave Ste 100 Overland Park KS 66209-2504
Phone: (816) 943-0406
Fax: (913) 451-1754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R1D87 Missouri

Profile Details

NPI number 1164413167
LBN Legal business name Whitaker, Theodore M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 17th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164413167 NPPES
Missouri MEDICAID 242039642

Popular Providers