White, John Bowman

White, John Bowman is an individual health care provider with primary practice located at 3860 Teays Valley Rd Suite 1, Hurricane WV 25526-9772. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. White, John Bowman can be contacted via phone (304) 757-5880.

Contact Information

Primary practice address
3860 Teays Valley Rd Suite 1 Hurricane WV 25526-9772
Phone: (304) 757-5880
Fax: (304) 757-5881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 00313 West Virginia
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 00313 West Virginia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00313 West Virginia

Profile Details

NPI number 1215923495
LBN Legal business name White, John Bowman
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 17th, 2011 - about 13 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 1215923495 NPPES
West Virginia MEDICAID 0099970000

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