White, Jason Gabriel

White, Jason Gabriel is an individual health care provider with primary practice located at 1855 Springhill Ave , Mobile AL 36607-2301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. White, Jason Gabriel can be contacted via phone (251) 471-3544.

Contact Information

Primary practice address
1855 Springhill Ave Mobile AL 36607-2301
Phone: (251) 471-3544
Fax: (251) 476-7254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-296 Alabama

Profile Details

NPI number 1447258207
LBN Legal business name White, Jason Gabriel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Dec 7th, 2009 - 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 1447258207 NPPES
Alabama Other 51513909 BLUE CROSS BLUE SHIELD

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