White, Keandra
White, Keandra is an sole proprietor health care provider with primary practice located at 18288 N Us Highway 41 , Lutz FL 33549-4400. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as her primary health care specialty. White, Keandra can be contacted via phone (813) 527-9638.Contact Information
Primary practice address
18288 N Us Highway 41
Lutz FL 33549-4400
Phone: (813) 527-9638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist | 225A00000X |
Profile Details
| NPI number | 1851995575 |
|---|---|
| LBN Legal business name | White, Keandra |
| Credentials | MT-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2020 |
| Last updated | Nov 23rd, 2020 - about 4 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 | 1851995575 | NPPES |
| Florida | MEDICAID | F226 |
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