White, Douglas W

White, Douglas W is an individual health care provider with primary practice located at 3111 Gundersen Dr , Onalaska WI 54650-8447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. White, Douglas W can be contacted via phone (608) 775-8100.

Contact Information

Primary practice address
3111 Gundersen Dr Onalaska WI 54650-8447
Phone: (608) 775-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 53356 Wisconsin
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2002008192 Missouri

Profile Details

NPI number 1316964836
LBN Legal business name White, Douglas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 6th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316964836 NPPES
Missouri MEDICAID 201271202

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