White, Jason

White, Jason is an individual health care provider with primary practice located at 2864 Woodruff Street , Fort Liberty NC 28302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Jason can be contacted via phone (330) 425-7133.

Contact Information

Primary practice address
2864 Woodruff Street Fort Liberty NC 28302
Phone: (330) 425-7133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34007870 Ohio

Profile Details

NPI number 1497747547
LBN Legal business name White, Jason
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 10th, 2024 - about 2 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 1497747547 NPPES
Ohio MEDICAID 2485949

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