White, Jeffery

White, Jeffery is an sole proprietor health care provider with primary practice located at 1381 Pio Nono Ave , Macon GA 31204-4633. He recently has only one registered license in Eye and Vision Services Providers / Orthoptist, which is considered as his primary health care specialty. White, Jeffery can be contacted via phone (478) 812-8488.

Contact Information

Primary practice address
1381 Pio Nono Ave Macon GA 31204-4633
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Orthoptist 156FX1900X Georgia

Profile Details

NPI number 1770183709
LBN Legal business name White, Jeffery
Credentials MASTER BARBER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2020
Last updated Oct 28th, 2020 - about 4 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 1770183709 NPPES
Georgia MEDICAID 1111111111111111111

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