White, Ted Allan

White, Ted Allan is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Suite 130, Johnson City TN 37604-6971. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. White, Ted Allan can be contacted via phone (423) 431-2477.

Contact Information

Primary practice address
410 N State Of Franklin Rd Suite 130 Johnson City TN 37604-6971
Phone: (423) 431-2477
Fax: (423) 431-2478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 16367 Tennessee

Profile Details

NPI number 1134497787
LBN Legal business name White, Ted Allan
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2011
Last updated Feb 28th, 2017 - about 8 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 1134497787 NPPES
Kentucky MEDICAID 7100214350
Kentucky MEDICAID 1527289
Kentucky MEDICAID 1134497787
Kentucky MEDICAID 1134497787

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