Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 004389 | DC |
Y | 213EG0000X | General Practice | 004389 | DC |
NPI | 1003938416 |
---|---|
Provider Name | Dr. Aaron Tyrone Whitaker |
First Address | Washington, DC 20001-1850 |
Second Address | Washington, DC 20001-1850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004389 | LICENSE # (01) | DC |