White, Michael D

White, Michael D is an individual health care provider with primary practice located at 215 E Hawaii Ave , Nampa ID 83686-6011. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. White, Michael D can be contacted via phone (208) 463-3234.

Contact Information

Primary practice address
215 E Hawaii Ave Nampa ID 83686-6011
Phone: (208) 463-3234
Fax: (208) 463-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PT-1206 Idaho

Profile Details

NPI number 1780673707
LBN Legal business name White, Michael D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Feb 19th, 2013 - about 11 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 1780673707 NPPES
Idaho Other 970014195 RAILROAD MEDICARE
Idaho Other PA332 RAILROAD MEDICARE
Idaho Other 000010017665 RAILROAD MEDICARE
Idaho Other 000010017666 RAILROAD MEDICARE
Idaho MEDICAID 805659700 RAILROAD MEDICARE
Idaho Other PA837 RAILROAD MEDICARE

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