Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 01068187A | IN |
NPI | 1912165580 |
---|---|
Provider Name | Jonathan Howard Wilhite |
First Address | Indianapolis, IN 46234-5030 |
Second Address | Indianapolis, IN 46260-2006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 01/02/2012 |