Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEMETRIUS WHITEHEAD, LPN
Active Sole ProprietorDEMETRIUS WHITEHEAD, LPN is a Physical Disabilities Residential Treatment Facility healthcare provider located in INDIANAPOLIS, Indiana. NPI 1346880341 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1346880341
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2020 (6.4083313649622 yrs)
- Last Updated
- Feb 28, 2024
- Licenses
-
27060564A (IN)21015321 (IN)21015321 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 S BUTLER AVEINDIANAPOLIS, IN, 462197034Browse IN providers · Browse ZIP 46219
- Phone
- 3174990437
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
- Additional Specialty
- Physical Disabilities Residential Treatment Facility
Other Physical Disabilities Residential Treatment Facility Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| MELISSA GOLDSTEIN | — | 1467842039 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.