White, John Joseph
White, John Joseph is an individual health care provider with primary practice located at 1750 E Lake Shore Dr Ste 200, Decatur IL 62521-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. White, John Joseph can be contacted via phone (217) 428-6300.Contact Information
Primary practice address
1750 E Lake Shore Dr Ste 200
Decatur IL 62521-3809
Phone: (217) 428-6300
Fax: (217) 428-6322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Illinois |
Profile Details
| NPI number | 1184606527 |
|---|---|
| LBN Legal business name | White, John Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184606527 | NPPES |
| Other | CI8411 | MEDICARE TRAVELERS |
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