White, Nathalia White Shanetta

White, Nathalia White Shanetta is an sole proprietor health care provider with primary practice located at 240 W Galveston St Unit 417 , League City TX 77574-0849. She recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as her primary health care specialty. White, Nathalia White Shanetta can be contacted via phone (281) 787-2881.

Contact Information

Primary practice address
240 W Galveston St Unit 417 League City TX 77574-0849
Phone: (281) 787-2881
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X Texas

Profile Details

NPI number 1700373966
LBN Legal business name White, Nathalia White Shanetta
Credentials HEALTHCARE PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2018
Last updated Apr 13th, 2018 - about 6 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 1700373966 NPPES
Texas MEDICAID 82-5132507
Texas MEDICAID 825132507

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