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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003815358 NPPES
South Carolina MEDICAID T74354
South Carolina MEDICAID 003523200

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