White, John H

White, John H is an individual health care provider with primary practice located at 2210 Dean St Suite B, St Charles IL 60175-1066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. White, John H can be contacted via phone (630) 377-5300.

Contact Information

Primary practice address
2210 Dean St Suite B St Charles IL 60175-1066
Fax: (630) 377-6721
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 336-042878 Illinois

Profile Details

NPI number 1811996713
LBN Legal business name White, John H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated May 12th, 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 1811996713 NPPES
Illinois MEDICAID 036079881

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