Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 046345 | OH |
N | 111NI0900X | Internist | 046345 | OH |
Y | 207RA0401X | Internist - Addiction Medicine | 35046345-W | OH |
NPI | 1386812451 |
---|---|
Provider Name | Dr. Marc William Whitsett |
First Address | Batavia, OH 45103-9778 |
Second Address | Milford, OH 45150-8403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2008 |
Last Update Date | 07/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0782158 | (05) | OH |
E30327 | (02) | OH |