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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902875057 | NPPES |
| Tennessee | MEDICAID | 3838679 |
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