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Individual
DR. JOHNATHON TODD WHITEHEAD
Active
Individual
DR. JOHNATHON TODD WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001887101
—
TX
01
—
8G3166
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/27/2006
Last updated
04/09/2020
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