White, Timothy L

White, Timothy L is an individual health care provider with primary practice located at 4520 Beckley Rd , Battle Creek MI 49015-7941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. White, Timothy L can be contacted via phone (269) 969-8723.

Contact Information

Primary practice address
4520 Beckley Rd Battle Creek MI 49015-7941
Fax: (269) 969-8724
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301081151 Michigan

Profile Details

NPI number 1013917442
LBN Legal business name White, Timothy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 13th, 2023 - about last year

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 1013917442 NPPES
Michigan Other 350A349860 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 104487755 BLUE CROSS BLUE SHIELD
Michigan Other 151419 BLUE CROSS BLUE SHIELD
Michigan Other 25193 BLUE CROSS BLUE SHIELD
Michigan Other 12-30369 BLUE CROSS BLUE SHIELD
Michigan Other 7277005 BLUE CROSS BLUE SHIELD

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