White, George M
White, George M is an sole proprietor health care provider with primary practice located at 9844 Lori Rd Suite 100, Chesterfield VA 23832-6691. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. White, George M can be contacted via phone (804) 706-1111.Contact Information
Primary practice address
9844 Lori Rd Suite 100
Chesterfield VA 23832-6691
Phone: (804) 706-1111
Fax: (804) 706-1185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Virginia |
Profile Details
| NPI number | 1659397362 |
|---|---|
| LBN Legal business name | White, George M |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Dec 28th, 2016 - about 8 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 | 1659397362 | NPPES |
| Virginia | MEDICAID | 010244765 |
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