White, Dana J
White, Dana J is an sole proprietor health care provider with primary practice located at 1 Forest Lane , Kennebunk ME 04043. 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, Dana J can be contacted via phone (207) 205-5225.Contact Information
Primary practice address
1 Forest Lane
Kennebunk ME 04043
Phone: (207) 205-5225
Fax: (207) 571-8413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2996 | Maine |
Profile Details
| NPI number | 1043305089 |
|---|---|
| LBN Legal business name | White, Dana J |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043305089 | NPPES |
| Maine | Other | 061482 | BCBS |
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