White, Clinton

White, Clinton is an individual health care provider with primary practice located at 210 W Lacrosse Ave , Coeur D Alene ID 83814-2403. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. White, Clinton can be contacted via phone (208) 664-2185.

Contact Information

Primary practice address
210 W Lacrosse Ave Coeur D Alene ID 83814-2403
Phone: (208) 664-2185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-535 Idaho

Profile Details

NPI number 1629274675
LBN Legal business name White, Clinton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - about 18 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

Popular Providers