White, Jason A
White, Jason A is an individual health care provider with primary practice located at 333 Post Rd W , Westport CT 06880-4701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. White, Jason A can be contacted via phone (203) 422-0679.Contact Information
Primary practice address
333 Post Rd W
Westport CT 06880-4701
Phone: (203) 422-0679
Fax: (203) 422-0913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 14.009619 | Connecticut |
Profile Details
| NPI number | 1295096196 |
|---|---|
| LBN Legal business name | White, Jason A |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2012 |
| Last updated | Feb 6th, 2014 - about 10 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 | 1295096196 | NPPES |
| Connecticut | Other | 080009619CT02 | ANTHEM BLUECROSS & BLUESHIELD |
| Connecticut | MEDICAID | 8049282 | ANTHEM BLUECROSS & BLUESHIELD |
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