White, Harry C

White, Harry C is an individual health care provider with primary practice located at 4105 Briargate Blvd Suite 125, Colorado Springs CO 80920-3490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. White, Harry C can be contacted via phone (719) 282-2511.

Contact Information

Primary practice address
4105 Briargate Blvd Suite 125 Colorado Springs CO 80920-3490
Fax: (719) 282-2545
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 31218 Colorado

Profile Details

NPI number 1629016787
LBN Legal business name White, Harry C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Oct 20th, 2011 - 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 1629016787 NPPES
Colorado Other 20439 KAISER COMMERCIAL
Colorado MEDICAID 25584251 KAISER COMMERCIAL

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