White, Nathan S.

White, Nathan S. is an individual health care provider with primary practice located at 21000 E 12 Mile Rd , St Clair Shores MI 48081-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. White, Nathan S. can be contacted via phone (586) 447-5100.

Contact Information

Primary practice address
21000 E 12 Mile Rd St Clair Shores MI 48081-1116
Phone: (586) 447-5100
Fax: (586) 447-5090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301070798 Michigan

Profile Details

NPI number 1134106024
LBN Legal business name White, Nathan S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated May 12th, 2008 - 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 1134106024 NPPES
Michigan MEDICAID 4755678
Michigan Other 0E01168

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