White, John Maxwell
White, John Maxwell is an sole proprietor health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. White, John Maxwell can be contacted via phone (423) 844-1121.Contact Information
Primary practice address
1 Medical Park Blvd
Bristol TN 37620-7430
Phone: (423) 844-1121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35C.001118 | Ohio |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 028233 | Georgia |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD61499859 | Washington |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 69973 | Tennessee |
Profile Details
| NPI number | 1689601379 |
|---|---|
| LBN Legal business name | White, John Maxwell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Feb 20th, 2024 - about 9 months 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 | 1689601379 | NPPES |
| Georgia | MEDICAID | 000328237E | |
| Georgia | Other | 208282 | |
| Georgia | Other | P00019582 |
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