White, Michael J
White, Michael J is an individual health care provider with primary practice located at 1830 Pondfield Rd Suite A, Newberry SC 29108-9522. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Nursing Service Providers / Wound Care. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. White, Michael J can be contacted via phone (803) 405-7230.Contact Information
Primary practice address
1830 Pondfield Rd Suite A
Newberry SC 29108-9522
Phone: (803) 405-7230
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23345 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME108837 | Florida |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 073670 | Georgia |
Nursing Service Providers / Wound Care | 163WW0000X | 73670 | Georgia |
Profile Details
NPI number | 1003815358 |
---|---|
LBN Legal business name | White, Michael J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2005 |
Last updated | May 13th, 2016 - about 8 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 | 1003815358 | NPPES |
South Carolina | MEDICAID | T74354 | |
South Carolina | MEDICAID | 003523200 |
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