Individual
MEGAN MICHELLE WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6480 HARRISON AVE, STE. 303, CINCINNATI, OH 45247-7961
(513) 541-5051
(513) 541-4035
Mailing address
5300 FAR HILLS AVE, DAYTON, OH 45429-2381
(937) 312-3820
(937) 433-9612
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50-003182
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000684745
ANTHEM
OH
01
—
570303
WELLCARE
OH
01
—
9963606
AETNA
OH
Enumeration date
10/14/2010
Last updated
07/14/2016
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