Provider Demographics
NPI:1316289184
Name:WHITMORE, PAIGE N
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:N
Last Name:WHITMORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41800 HAYES RD STE 112
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1876
Mailing Address - Country:US
Mailing Address - Phone:586-438-4108
Mailing Address - Fax:866-229-4381
Practice Address - Street 1:41800 HAYES RD STE 112
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1876
Practice Address - Country:US
Practice Address - Phone:586-438-4108
Practice Address - Fax:866-229-4381
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator