White, Justin Shane

White, Justin Shane is an individual health care provider with primary practice located at 2240 Adams Ave , Ogden UT 84401-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Justin Shane can be contacted via phone (801) 393-5355.

Contact Information

Primary practice address
2240 Adams Ave Ogden UT 84401-1511
Fax: (801) 394-4609
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 66740681204 Utah

Profile Details

NPI number 1205028784
LBN Legal business name White, Justin Shane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Sep 29th, 2021 - about 3 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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