Provider Demographics
NPI:1811363336
Name:WHITELATCH, STEVEN (PA-C)
Entity Type:Individual
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First Name:STEVEN
Middle Name:
Last Name:WHITELATCH
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4000 HAMPTON CTR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-1730
Mailing Address - Country:US
Mailing Address - Phone:304-413-2552
Mailing Address - Fax:304-413-0055
Practice Address - Street 1:4000 HAMPTON CTR
Practice Address - Street 2:SUITE B
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-1730
Practice Address - Country:US
Practice Address - Phone:304-413-2552
Practice Address - Fax:304-413-0055
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2022-04-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant