White, Anthony T

White, Anthony T is an individual health care provider with primary practice located at 4802E Johnson Ave , Jonesboro AR 72401-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. White, Anthony T can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
4802E Johnson Ave Jonesboro AR 72401-8413
Fax: (870) 934-3630
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R-3444 Arkansas

Profile Details

NPI number 1548239585
LBN Legal business name White, Anthony T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548239585 NPPES
Missouri MEDICAID 202651907
Missouri MEDICAID 101849001

Popular Providers