Whitehead, Clarence

Whitehead, Clarence is an individual health care provider with primary practice located at 600 N Lewis St , New Iberia LA 70563-2043. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Whitehead, Clarence can be contacted via phone (800) 893-9698.

Contact Information

Primary practice address
600 N Lewis St New Iberia LA 70563-2043
Phone: (800) 893-9698
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 022961 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 022961 Louisiana

Profile Details

NPI number 1326005406
LBN Legal business name Whitehead, Clarence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Sep 15th, 2015 - about 11 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 1326005406 NPPES
Other P00285996 RAILROAD MEDICARE
MEDICAID 1683906 RAILROAD MEDICARE

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