White, Mattie Davis

White, Mattie Davis is an sole proprietor health care provider with primary practice located at 2041 Martin Luther King Jr Ave Se Ste 239 , Washington DC 20020-7034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. White, Mattie Davis can be contacted via phone (202) 547-8450.

Contact Information

Primary practice address
2041 Martin Luther King Jr Ave Se Ste 239 Washington DC 20020-7034
Phone: (202) 547-8450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X D0037605 Maryland

Profile Details

NPI number 1144363458
LBN Legal business name White, Mattie Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Oct 17th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144363458 NPPES
District of Columbia MEDICAID 092200900
District of Columbia Other 2084P0804X

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