White, Clinton B

White, Clinton B is an sole proprietor health care provider with primary practice located at 6051 U S Highway 49 , Hattiesburg MS 39401-7200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. White, Clinton B can be contacted via phone (601) 288-3440.

Contact Information

Primary practice address
6051 U S Highway 49 Hattiesburg MS 39401-7200
Fax: (601) 288-3451
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 11551 Mississippi

Profile Details

NPI number 1376671255
LBN Legal business name White, Clinton B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 17 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 1376671255 NPPES
Mississippi MEDICAID 00112141

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