White, Wayne Walter
White, Wayne Walter is an sole proprietor health care provider with primary practice located at 200 Se 12Th St , Ft Lauderdale FL 33316-1816. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. White, Wayne Walter can be contacted via phone (954) 463-2404.Contact Information
Primary practice address
200 Se 12Th St
Ft Lauderdale FL 33316-1816
Phone: (954) 463-2404
Fax: (954) 463-2307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH0006397 | Florida |
Profile Details
| NPI number | 1891782769 |
|---|---|
| LBN Legal business name | White, Wayne Walter |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jul 27th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891782769 | NPPES |
| Florida | MEDICAID | 380318000 |
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