Provider Demographics
NPI:1548470990
Name:WHITING, BERNADETTE ROBSHEEN
Entity type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:ROBSHEEN
Last Name:WHITING
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 1:1879 KNOWLES ST
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-3918
Mailing Address - Country:US
Mailing Address - Phone:216-387-3717
Mailing Address - Fax:
Practice Address - Street 1:1879 KNOWLES ST
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-3918
Practice Address - Country:US
Practice Address - Phone:216-387-3717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2725895374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2725895Medicare UPIN