White, Sean P

White, Sean P is an individual health care provider with primary practice located at 105 W Stone Dr Ste 5D , Kingsport TN 37660-3365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. White, Sean P can be contacted via phone (423) 247-7500.

Contact Information

Primary practice address
105 W Stone Dr Ste 5D Kingsport TN 37660-3365
Phone: (423) 247-7500
Fax: (423) 390-4369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD36075 Tennessee

Profile Details

NPI number 1912961764
LBN Legal business name White, Sean P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jan 19th, 2021 - about 3 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 1912961764 NPPES
Virginia MEDICAID 1912961764
Virginia MEDICAID 3871718
Virginia MEDICAID 3871717

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