White, Kenneth Stephen
White, Kenneth Stephen is an sole proprietor health care provider with primary practice located at 3410 Far West Blvd Suite 100, Austin TX 78731-3194. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. White, Kenneth Stephen can be contacted via phone (512) 346-5735.Contact Information
Primary practice address
3410 Far West Blvd Suite 100
Austin TX 78731-3194
Phone: (512) 346-5735
Fax: (512) 233-2792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 2229 | Texas |
Profile Details
| NPI number | 1497715106 |
|---|---|
| LBN Legal business name | White, Kenneth Stephen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Feb 26th, 2014 - about 10 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 | 1497715106 | NPPES |
| Texas | MEDICAID | B06002321 | |
| Texas | Other | BC/BS OF TEXAS | |
| Texas | Other | DC2229 |
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