Whitley, Herbert

Whitley, Herbert is an individual health care provider with primary practice located at 102 Highland Ave Se , Roanoke VA 24013-2255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Whitley, Herbert can be contacted via phone (540) 224-4545.

Contact Information

Primary practice address
102 Highland Ave Se Roanoke VA 24013-2255
Phone: (540) 224-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 0101-231079 Virginia

Profile Details

NPI number 1659350908
LBN Legal business name Whitley, Herbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2006
Last updated Aug 12th, 2011 - about 15 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 1659350908 NPPES
Virginia MEDICAID 010264197
Virginia MEDICAID 6736661
Virginia MEDICAID 6720269
Virginia MEDICAID 6725104
Virginia MEDICAID 6736653
Virginia MEDICAID 6736688
Virginia MEDICAID 6736670
Virginia MEDICAID 6739636

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