White, David Bradford

White, David Bradford is an individual health care provider with primary practice located at 3 Erie Ct , Oak Park IL 60302-2519. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. White, David Bradford can be contacted via phone (708) 383-6200.

Contact Information

Primary practice address
3 Erie Ct Oak Park IL 60302-2519
Phone: (708) 383-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.022595 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 8057 Connecticut

Profile Details

NPI number 1407310717
LBN Legal business name White, David Bradford
Credentials DNP, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2019
Last updated Mar 6th, 2024 - about 6 months 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 1407310717 NPPES
Connecticut MEDICAID 1407310717

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