White, Douglas Wesley

White, Douglas Wesley is an individual health care provider with primary practice located at 1409 E Lake Mead Blvd , North Las Vegas NV 89030-7120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. White, Douglas Wesley can be contacted via phone (866) 750-3229.

Contact Information

Primary practice address
1409 E Lake Mead Blvd North Las Vegas NV 89030-7120
Phone: (866) 750-3229
Fax: (866) 752-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01056740A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13450 Nevada

Profile Details

NPI number 1538140322
LBN Legal business name White, Douglas Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Oct 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538140322 NPPES
Nevada MEDICAID 1538140322
Nevada Other 1538140322

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