White, Jason T

White, Jason T is an sole proprietor health care provider with primary practice located at 15 S Forest Rd , Williamsville NY 14221-6425. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. White, Jason T can be contacted via phone (716) 634-5993.

Contact Information

Primary practice address
15 S Forest Rd Williamsville NY 14221-6425
Phone: (716) 634-5993
Fax: (716) 478-0946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005864 New York

Profile Details

NPI number 1376640540
LBN Legal business name White, Jason T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Apr 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376640540 NPPES
Other 00026080003 UNIVERA
Other 000526926002 UNIVERA
Other 000526926001 UNIVERA
MEDICAID 02344012 UNIVERA

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