White, Michael

White, Michael is an sole proprietor health care provider with primary practice located at 11 Cedar Ln , Sands Point NY 11050-1334. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. White, Michael can be contacted via phone (516) 887-9155.

Contact Information

Primary practice address
11 Cedar Ln Sands Point NY 11050-1334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 1951641 New York

Profile Details

NPI number 1760527980
LBN Legal business name White, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 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 1760527980 NPPES
New York MEDICAID 01126425

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