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NPI Code Detail

MEDICARE: ANDREW E WHITTAKER PA-C

MEDICARE: ANDREW E WHITTAKER PA-C
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
1363A00000XPhysician Assistant50.002927RXOH

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 : 1841424819
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW E WHITTAKER PA-C
Provider Business Mailing Address
First Line : 611 2ND ST
Second Line :
City : MARIETTA
State : OH
Zip : 45750-2123
Country : US
Telephone Number : 740-373-8756
Fax Number : 740-373-0091
Provider Business Practice Location Address
First Line : 611 2ND ST # C
Second Line :
City : MARIETTA
State : OH
Zip : 45750-2123
Country : US
Telephone Number : 740-373-8756
Fax Number : 740-373-0091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2009
Last Update Date : 02/17/2025

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Directions to “ ANDREW E WHITTAKER PA-C” Practice Location

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