Robert E Whitman in Jerseyville - Physician Assistant

Robert E Whitman - NPI 1578710281

Robert E Whitman is a Physician Assistant in Jerseyville, Illinois. Robert E Whitman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert E Whitman is 1578710281. The last update date is 2022-01-24.

Robert E Whitman's current location address is 400 Maple Summit Rd, Jerseyville, Illinois. You can contact this provider via phone number 6184988472 and fax number 6184988461. The mailing address for Robert E Whitman is 400 Maple Summit Rd, Jerseyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert E Whitman
Address 400 Maple Summit Rd, Jerseyville, Illinois
Phone Number 6184988472
Fax Number 6184988461
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1578710281
Provider Enumeration Date 2008-08-25
Last Updated Date 2022-01-24

Provider Mailing Address Detail

Address 400 Maple Summit Rd
City Jerseyville
State Illinois (IL)
Post Code 62052
Phone Number 6184988472
Fax Number 6184988461

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85003276
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K53375 IL MEDICARE PTAN
300440 ID BLUE CROSS

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FAQs about Robert E Whitman

What is the unique 10-digit identifier code assigned to Robert E Whitman by the Centers for Medicare & Medicaid Services?

The Robert E Whitman has been issued the NPI (National Provider Identifier) 1578710281 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Robert E Whitman's physical address?

The Robert E Whitman is physically located at 400 Maple Summit Rd, in the city of Jerseyville, IL, with the postal code 62052.

What is the Robert E Whitman's area of specialization and corresponding taxonomy classification?

The Robert E Whitman's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When did Robert E Whitman receive its 1578710281 assignment?

The Robert E Whitman was assigned its 1578710281 on 2008-08-25, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Robert E Whitman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Robert E Whitman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-24.

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