Provider Demographics
NPI:1508823055
Name:ESSENTIAL HEALTH, PC
Entity Type:Organization
Organization Name:ESSENTIAL HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-882-5595
Mailing Address - Street 1:PO BOX 1505
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35807-0505
Mailing Address - Country:US
Mailing Address - Phone:256-882-5595
Mailing Address - Fax:256-883-1268
Practice Address - Street 1:475 PROVIDENCE MAIN ST NW
Practice Address - Street 2:SUITE 201
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4815
Practice Address - Country:US
Practice Address - Phone:256-882-5595
Practice Address - Fax:256-883-1268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24039207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty