White, Antonio

White, Antonio is an individual health care provider with primary practice located at 1408 N Highland Ave Ste 306 , Jackson TN 38301-3450. He recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as his primary health care specialty. White, Antonio can be contacted via phone (731) 736-1090.

Contact Information

Primary practice address
1408 N Highland Ave Ste 306 Jackson TN 38301-3450
Phone: (731) 736-1090
Fax: (731) 736-1760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1831608959
LBN Legal business name White, Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831608959 NPPES
Tennessee MEDICAID Q018345

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