Whittaker, Kenneth A
Whittaker, Kenneth A is an sole proprietor health care provider with primary practice located at 506 N Villa Rd , Newberg OR 97132-1833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Whittaker, Kenneth A can be contacted via phone (503) 554-0036.Contact Information
Primary practice address
506 N Villa Rd
Newberg OR 97132-1833
Phone: (503) 554-0036
Fax: (503) 538-9257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD19011 | Oregon |
Profile Details
| NPI number | 1073606687 |
|---|---|
| LBN Legal business name | Whittaker, Kenneth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jun 15th, 2021 - 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 | 1073606687 | NPPES |
| Oregon | MEDICAID | 081448 |
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