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Individual

PETER J WHITEHOUSE

Active
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Individual

PETER J WHITEHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-054613
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221113
UNISON
OH
01
000000510691
ANTHEM
OH
01
0640739
AETNA
OH
05
0651254
OH
01
130009082
MCR RR
01
364128
WELLCARE
OH
01
741884
BUCKEYE
OH
01
P00385146
MEDICARE RAILROAD
OH
Enumeration date
07/17/2006
Last updated
07/12/2011
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