Whitehead, Adam Charles

Whitehead, Adam Charles is an individual health care provider with primary practice located at 300 N Main St , Wasilla AK 99654-7017. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is his primary health care specialty. Whitehead, Adam Charles can be contacted via phone (907) 376-8020.

Contact Information

Primary practice address
300 N Main St Wasilla AK 99654-7017
Phone: (907) 376-8020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 106407 Alaska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT.0014003 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT012734 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT9338 Tennessee

Profile Details

NPI number 1134577786
LBN Legal business name Whitehead, Adam Charles
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2016
Last updated Apr 18th, 2023 - about 3 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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