White, Damon

White, Damon is an sole proprietor health care provider with primary practice located at 57 S Main St , Middletown CT 06457-3606. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. White, Damon can be contacted via phone (860) 343-5997.

Contact Information

Primary practice address
57 S Main St Middletown CT 06457-3606
Phone: (860) 343-5997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1992807671
LBN Legal business name White, Damon
Credentials MS, ATC, NASM-PES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
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.

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