White, John Paul

White, John Paul is an individual health care provider with primary practice located at 1265 Cliff Gookin Boulevard , Tupelo MS 38801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. White, John Paul can be contacted via phone (662) 840-2131.

Contact Information

Primary practice address
1265 Cliff Gookin Boulevard Tupelo MS 38801
Fax: (662) 840-2522
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11436 Mississippi

Profile Details

NPI number 1174562318
LBN Legal business name White, John Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 10th, 2008 - 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 1174562318 NPPES
Mississippi MEDICAID 00114998

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