Whiteside, Daniela M.

Whiteside, Daniela M. is an individual health care provider with primary practice located at 19208 Betty Stough Rd , Cornelius NC 28031. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Whiteside, Daniela M. can be contacted via phone (704) 728-9002.

Contact Information

Primary practice address
19208 Betty Stough Rd Cornelius NC 28031
Phone: (704) 728-9002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2005-01237 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23928 South Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2005-01237 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 23928 South Carolina

Profile Details

NPI number 1134352867
LBN Legal business name Whiteside, Daniela M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2009
Last updated Mar 13th, 2020 - about 6 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 1134352867 NPPES
South Carolina Other AA77322326 MEDICARE PTAN
South Carolina MEDICAID N01237 MEDICARE PTAN

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