Whitehead, Demetrius

Whitehead, Demetrius is an sole proprietor health care provider with primary practice located at 415 S Butler Ave , Indianapolis IN 46219-7034. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities is his primary health care specialty. Whitehead, Demetrius can be contacted via phone (317) 499-0437.

Contact Information

Primary practice address
415 S Butler Ave Indianapolis IN 46219-7034
Phone: (317) 499-0437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 27060564A Indiana
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 21015321 Indiana
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 21015321 Indiana

Profile Details

NPI number 1346880341
LBN Legal business name Whitehead, Demetrius
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2020
Last updated Feb 28th, 2024 - about 2 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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