White, Stacy Allan

White, Stacy Allan is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. White, Stacy Allan can be contacted via phone (904) 697-3694.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Fax: (904) 697-3927
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X MD465719 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME144263 Florida

Profile Details

NPI number 1053750323
LBN Legal business name White, Stacy Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2013
Last updated Aug 3rd, 2022 - about 2 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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