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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538140322 | NPPES |
| Nevada | MEDICAID | 1538140322 | |
| Nevada | Other | 1538140322 |
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