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NPI Code Detail

MEDICARE: DR. MYRITA YVONNE WILHITE AU.D.

MEDICARE:  DR. MYRITA YVONNE WILHITE  AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistA00654OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2366525OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609272608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MYRITA YVONNE WILHITE AU.D.
Provider Business Mailing Address
First Line : 2121 EUCLID AVE
Second Line : MC 430
City : CLEVELAND
State : OH
Zip : 44115-2214
Country : US
Telephone Number : 216-687-3808
Fax Number : 216-687-6993
Provider Business Practice Location Address
First Line : 2121 EUCLID AVE
Second Line : MC 430
City : CLEVELAND
State : OH
Zip : 44115-2214
Country : US
Telephone Number : 216-687-3808
Fax Number : 216-687-6993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2014
Last Update Date : 11/18/2014

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