White, Jaimie Adelle
White, Jaimie Adelle is an individual health care provider with primary practice located at 1530 Route 9 , Wappingers Falls NY 12590-4131. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. White, Jaimie Adelle can be contacted via phone (845) 297-2511.Contact Information
Primary practice address
1530 Route 9
Wappingers Falls NY 12590-4131
Phone: (845) 297-2511
Fax: (845) 297-4993
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 018605 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 018605 | New York |
Profile Details
NPI number | 1053619817 |
---|---|
LBN Legal business name | White, Jaimie Adelle |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2011 |
Last updated | Feb 2nd, 2017 - about 7 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 | 1053619817 | NPPES |
New York | MEDICAID | 04198481 |
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