White, John S

White, John S is an individual health care provider with primary practice located at 294 Summar Dr , Jackson TN 38301-3915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, John S can be contacted via phone (731) 423-1932.

Contact Information

Primary practice address
294 Summar Dr Jackson TN 38301-3915
Phone: (731) 423-1932
Fax: (731) 410-0367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD30788 Tennessee

Profile Details

NPI number 1902875057
LBN Legal business name White, John S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 14th, 2015 - about 9 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 1902875057 NPPES
Tennessee MEDICAID 3838679

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