Whittaker, Alissa
Whittaker, Alissa is an individual health care provider with primary practice located at 2219 Dubois Dr , Warsaw IN 46580-3212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Whittaker, Alissa can be contacted via phone (574) 371-9550.Contact Information
Primary practice address
2219 Dubois Dr
Warsaw IN 46580-3212
Phone: (574) 371-9550
Fax: (574) 376-4793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28186867A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71004885A | Indiana |
Profile Details
| NPI number | 1033540638 |
|---|---|
| LBN Legal business name | Whittaker, Alissa |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2013 |
| Last updated | Oct 6th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033540638 | NPPES |
| Indiana | Other | 151020023 | MEDICARE PTAN |
| Indiana | MEDICAID | 201222850 | MEDICARE PTAN |
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