Provider Demographics
NPI:1144387226
Name:WHITMER, MILTON VANE (MSW)
Entity Type:Individual
Prefix:MR
First Name:MILTON
Middle Name:VANE
Last Name:WHITMER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 W SOUTH BOUNDARY ST
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5200
Mailing Address - Country:US
Mailing Address - Phone:410-874-3201
Mailing Address - Fax:419-874-1989
Practice Address - Street 1:836 W SOUTH BOUNDARY ST
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5200
Practice Address - Country:US
Practice Address - Phone:410-874-3201
Practice Address - Fax:419-874-1989
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00060521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical