Provider Demographics
NPI:1952497158
Name:WHITON & REGISTER PLLC
Entity Type:Organization
Organization Name:WHITON & REGISTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-428-2146
Mailing Address - Street 1:1020 34TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-4206
Mailing Address - Country:US
Mailing Address - Phone:360-588-8457
Mailing Address - Fax:360-588-8467
Practice Address - Street 1:307 SOUTH 13TH STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:MT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274
Practice Address - Country:US
Practice Address - Phone:360-424-2630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD0002639174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAD25090Medicare UPIN
WAG8862237Medicare PIN