NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

CHESTER C WHITLEY, IV, P.A.-C – NPI #1740550078
Medical


Contact Information

CHESTER C WHITLEY, IV, P.A.-C
3960 W CRAIG RD
SUITE 101
NORTH LAS VEGAS, NV89032-2731
 Phone: 702-473-8380
 Fax: 702-473-8383
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Medical

363AM0700X
 

Physician Assistant

363A00000X
Indicates primary specialty
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NPI Information for CHESTER C WHITLEY, IV · (Male)

NPI Number 1740550078
Credentials P.A.-C
Entity Individual
Enumeration date 01/03/2012
Last updated 03/27/2014 - About 8 months ago
Sole proprietor 1 No
Identifiers
NV License # PA1517
SC License # MPA 1741 PA
NV Medicaid PENDING
NV Medicare PIN PENDING
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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