White, Mark Daniel

White, Mark Daniel is an individual health care provider with primary practice located at 2427 Thomas Dr , Panama City FL 32408. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. White, Mark Daniel can be contacted via phone (850) 234-2387.

Contact Information

Primary practice address
2427 Thomas Dr Panama City FL 32408
Fax: (850) 234-9686
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0005917 Florida

Profile Details

NPI number 1710080882
LBN Legal business name White, Mark Daniel
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Oct 3rd, 2012 - about 13 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 1710080882 NPPES
Florida MEDICAID 053050600
Florida Other 22428

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