Whitehead, Madison
Whitehead, Madison is an sole proprietor health care provider with primary practice located at 407 S Schwartz Ave Ste 101 , Farmington NM 87401-5925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Whitehead, Madison can be contacted via phone (505) 609-6595.Contact Information
Primary practice address
407 S Schwartz Ave Ste 101
Farmington NM 87401-5925
Phone: (505) 609-6595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1366123390 |
|---|---|
| LBN Legal business name | Whitehead, Madison |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2023 |
| Last updated | Oct 23rd, 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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