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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841267911 NPPES
Arizona MEDICAID 596380
Arizona Other AZ0895360

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