MEDICARE: ANTONIO I WHITSON

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1871487884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIO I WHITSON

Provider Business Mailing Address
First Line	:	9458 HADDINGTON CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-5131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9458 HADDINGTON CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-5131
Country	:	US
Telephone Number	:	513-968-0279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	06/04/2025

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Directions to “ ANTONIO I WHITSON ” Practice Location

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