Provider Demographics
NPI:1023718111
Name:WHITNEY, ERICK
Entity type:Individual
Prefix:
First Name:ERICK
Middle Name:
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 BIRCH HILL DR APT B6
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-1453
Mailing Address - Country:US
Mailing Address - Phone:440-340-8238
Mailing Address - Fax:
Practice Address - Street 1:6100 LAURENT DR APT 527
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5980
Practice Address - Country:US
Practice Address - Phone:216-413-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist