White, Douglas E
White, Douglas E is an sole proprietor health care provider with primary practice located at 187 Andover St , Andover MA 01810-5638. He recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. White, Douglas E can be contacted via phone (978) 658-5556.Contact Information
Primary practice address
187 Andover St
Andover MA 01810-5638
Phone: (978) 658-5556
Fax: (978) 658-5269
Website:
Health care specialties
Profile Details
| NPI number | 1184655458 |
|---|---|
| LBN Legal business name | White, Douglas E |
| Credentials | MSPT, L/ATC, CSCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 22nd, 2010 - about 14 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 | 1184655458 | NPPES |
| Massachusetts | Other | Y67383 | BC/BS |
| Massachusetts | MEDICAID | 0308943 | BC/BS |
| Massachusetts | Other | 467531 | BC/BS |
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