Whitehurst, Demeitrius M

Whitehurst, Demeitrius M is an individual health care provider with primary practice located at 12388 Warwick Blvd Ste 302, Newport News, Va 23602 Ste 302, Norfolk VA 23606-2360. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Whitehurst, Demeitrius M can be contacted via phone (757) 679-6058.

Contact Information

Primary practice address
12388 Warwick Blvd Ste 302, Newport News, Va 23602 Ste 302 Norfolk VA 23606-2360
Phone: (757) 679-6058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102215 Virginia

Profile Details

NPI number 1407331135
LBN Legal business name Whitehurst, Demeitrius M
Credentials B.A., CSAC, QMHP-A-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2018
Last updated Sep 27th, 2018 - about 8 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 1407331135 NPPES
Other 000000000 NONE

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