Whitley, Chester B

Whitley, Chester B is an individual health care provider with primary practice located at University Of Minnesota Physicians 516 Delaware Street Se, Room 4-100, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Whitley, Chester B can be contacted via phone (612) 626-6777.

Contact Information

Primary practice address
University Of Minnesota Physicians 516 Delaware Street Se, Room 4-100 Minneapolis MN 55455
Phone: (612) 626-6777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 26620 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26620 Minnesota

Profile Details

NPI number 1588735005
LBN Legal business name Whitley, Chester B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Apr 18th, 2012 - about 14 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 1588735005 NPPES
Other 1270277 MEDICA - PRIMARY
Other 100956 MEDICA - PRIMARY
Other 604688 MEDICA - PRIMARY
MEDICAID 0055369 MEDICA - PRIMARY
MEDICAID 0963116 MEDICA - PRIMARY
Other HP14681 MEDICA - PRIMARY
Other 1224617 MEDICA - PRIMARY
Other 1009355 MEDICA - PRIMARY
Other 2T335WH MEDICA - PRIMARY
MEDICAID 711378100 MEDICA - PRIMARY

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