Whitehead, Nichelle Elise
Whitehead, Nichelle Elise is an individual health care provider with primary practice located at 2034 N 3Rd Street , Phoenix AZ 85004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Whitehead, Nichelle Elise can be contacted via phone (602) 288-0777.Contact Information
Primary practice address
2034 N 3Rd Street
Phoenix AZ 85004
Phone: (602) 288-0777
Fax: (602) 340-0398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25151 | Arizona |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00036678 | Washington |
Profile Details
| NPI number | 1841267911 |
|---|---|
| LBN Legal business name | Whitehead, Nichelle Elise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841267911 | NPPES |
| Arizona | MEDICAID | 596380 | |
| Arizona | Other | AZ0895360 |
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