White, Jean King

White, Jean King is an individual health care provider with primary practice located at 1717 Oak Park Blvd Fl 2 , Lake Charles LA 70601-8990. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. White, Jean King can be contacted via phone (337) 494-3278.

Contact Information

Primary practice address
1717 Oak Park Blvd Fl 2 Lake Charles LA 70601-8990
Phone: (337) 494-3278
Fax: (337) 494-3240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD.016890 Louisiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD.016890 Louisiana

Profile Details

NPI number 1003913070
LBN Legal business name White, Jean King
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 27th, 2022 - 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 1003913070 NPPES
Louisiana Other MD.016890 STATE MEDICAL LICENSE
Louisiana MEDICAID 1377970 STATE MEDICAL LICENSE

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