White, James

White, James is an individual health care provider with primary practice located at 950 N Cass Lake Rd Suite 107, Waterford MI 48328-2370. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. White, James can be contacted via phone (248) 681-0623.

Contact Information

Primary practice address
950 N Cass Lake Rd Suite 107 Waterford MI 48328-2370
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704156612 Michigan

Profile Details

NPI number 1376529198
LBN Legal business name White, James
Credentials PHD, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Mar 26th, 2008 - about 16 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 1376529198 NPPES
Michigan MEDICAID 4368404

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