White, Jessica A.

White, Jessica A. is an individual health care provider with primary practice located at 1825 Logan Ave Emergency Department, Waterloo IA 50703-1916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. White, Jessica A. can be contacted via phone (319) 235-3697.

Contact Information

Primary practice address
1825 Logan Ave Emergency Department Waterloo IA 50703-1916
Phone: (319) 235-3697
Fax: (319) 235-3844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 33899 Iowa

Profile Details

NPI number 1689665622
LBN Legal business name White, Jessica A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 22nd, 2007 - about 17 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 1689665622 NPPES
Iowa Other 24195 WELLMARK BC/BS IOWA
Iowa MEDICAID 4240127 WELLMARK BC/BS IOWA
Iowa Other P00207392 WELLMARK BC/BS IOWA

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