White, Joshua John

White, Joshua John is an individual health care provider with primary practice located at 1818 N Meade St , Appleton WI 54911-3454. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. White, Joshua John can be contacted via phone (920) 731-8900.

Contact Information

Primary practice address
1818 N Meade St Appleton WI 54911-3454
Phone: (920) 731-8900
Fax: (920) 225-1479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3618 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2096 Wisconsin

Profile Details

NPI number 1063478055
LBN Legal business name White, Joshua John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 2nd, 2015 - about 11 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 1063478055 NPPES
Wisconsin Other 450030728 MEDICARE PTAN
Wisconsin Other 711290124 MEDICARE PTAN
Wisconsin Other WI2257002 MEDICARE PTAN
Wisconsin MEDICAID 41937200 MEDICARE PTAN
Wisconsin MEDICAID 100002112A MEDICARE PTAN

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