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
Fax: (954) 463-2307
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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 1891782769 NPPES
Florida MEDICAID 380318000

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