White, Stephen

White, Stephen is an individual health care provider with primary practice located at 1250 W. Dorothy Lane Ste 210, Dayton OH 45409. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. White, Stephen can be contacted via phone (937) 296-1007.

Contact Information

Primary practice address
1250 W. Dorothy Lane Ste 210 Dayton OH 45409
Phone: (937) 296-1007
Fax: (937) 395-0607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X I-0001444 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I-0001444 Ohio

Profile Details

NPI number 1619948957
LBN Legal business name White, Stephen
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - 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 1619948957 NPPES
Ohio Other 110997 MANAGED HEALTH NETWORK
Ohio Other 62-21655 MANAGED HEALTH NETWORK
Ohio Other 000000284604 MANAGED HEALTH NETWORK
Ohio Other 4519083 MANAGED HEALTH NETWORK

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