Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01037479A | IN |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 01037479 | IN |
NPI | 1245285055 |
---|---|
Provider Name | Dr. Hiram Jeffery Whitaker |
First Address | Indianapolis, IN 46278-1381 |
Second Address | Greenwood, IN 46143-3601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100350970 | (05) | IN |
C75552 | (02) | IN |