Jeffrey Wayne Whightsel
Obstetrician & Gynecologist
912 N Henrietta St
Effingham
, Illinois 62401-1788
Jeffrey Wayne Whightsel
Obstetrician & Gynecologist
912 N Henrietta St
Effingham
, Illinois 62401-1788
(217) 347-3328
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Jeffrey Wayne Whightsel
- Po Box 784
- Effingham, IL
- Zip : 62401-0784
- Fax : (217) 347-3328
- Phone : (217) 342-3337
Second Address
- Jeffrey Wayne Whightsel
- 912 N Henrietta St
- Effingham, IL
- Zip : 62401-1788
- Fax : (217) 347-3328
- Phone : (217) 342-3337
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 036-085757 | IL |
National Provider Identifier
| NPI | 1023004439 |
|---|---|
| Provider Name | Jeffrey Wayne Whightsel |
| First Address | Effingham, IL 62401-0784 |
| Second Address | Effingham, IL 62401-1788 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2005 |
| Last Update Date | 07/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036085757 | (05) | IL |
| B42737 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.