White, Jeffrey L

White, Jeffrey L is an individual health care provider with primary practice located at 1240 Big Jack Rd , Platteville WI 53818-8902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Jeffrey L can be contacted via phone (608) 348-6266.

Contact Information

Primary practice address
1240 Big Jack Rd Platteville WI 53818-8902
Phone: (608) 348-6266
Fax: (608) 342-3600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38995 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03120 Iowa

Profile Details

NPI number 1093761785
LBN Legal business name White, Jeffrey L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 17th, 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 1093761785 NPPES
Wisconsin MEDICAID 30085000

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