White, Olive L

White, Olive L is an individual health care provider with primary practice located at 150 Hill St , Mahopac NY 10541-2716. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. White, Olive L can be contacted via phone (845) 628-6427.

Contact Information

Primary practice address
150 Hill St Mahopac NY 10541-2716
Fax: (845) 208-3427
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 127800-1 New York

Profile Details

NPI number 1679600373
LBN Legal business name White, Olive L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 18 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 1679600373 NPPES
New York MEDICAID 01055449

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