White, Cortney D
White, Cortney D is an individual health care provider with primary practice located at 280 Snelling Ave N , Saint Paul MN 55104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. White, Cortney D can be contacted via phone (651) 645-3628.Contact Information
Primary practice address
280 Snelling Ave N
Saint Paul MN 55104
Phone: (651) 645-3628
Fax: (651) 645-3620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 47133 | Minnesota |
Profile Details
| NPI number | 1265411805 |
|---|---|
| LBN Legal business name | White, Cortney D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Feb 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265411805 | NPPES |
| Minnesota | MEDICAID | 487458700 |
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