WHITAKER DIRECT PRIMARY CARE LLC NPI 1609695378

NPI Information

  • NPI: 1609695378
  • Provider Name: WHITAKER DIRECT PRIMARY CARE, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 36D2248780
  • Address: 401 N MAIN ST
    ARCANUM, OH
    ZIP 45304
  • Phone: (937) 662-0191

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NPI Details

WHITAKER DIRECT PRIMARY CARE, LLC is a family nurse practitioner in Arcanum, OH. WHITAKER DIRECT PRIMARY CARE, LLC NPI is 1609695378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 N MAIN ST
ARCANUM, OH
ZIP 45304-332
Phone: (937) 662-0191
Fax: (937) 662-0199

The provider's authorized official is Abby Whitaker .
The authorized official title is Owner and has the following contact phone number (937) 662-0191.

The CLIA number assigned to this NPI record is 36D2248780 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/9/2024 and was last updated on 10/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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