Provider Demographics
NPI:1174803837
Name:POPE, WHITNEY ELAINE
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ELAINE
Last Name:POPE
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:PO BOX 464
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74502-0464
Mailing Address - Country:US
Mailing Address - Phone:918-429-5881
Mailing Address - Fax:
Practice Address - Street 1:1103 W CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-2317
Practice Address - Country:US
Practice Address - Phone:918-429-5881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management