White, William Bradley

White, William Bradley is an individual health care provider with primary practice located at 240 S Main St , Wolfeboro NH 03894-4411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. White, William Bradley can be contacted via phone (603) 515-2093.

Contact Information

Primary practice address
240 S Main St Wolfeboro NH 03894-4411
Phone: (603) 515-2093
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 53532 Massachusetts
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10599 New Hampshire

Profile Details

NPI number 1114973815
LBN Legal business name White, William Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 14th, 2015 - about 9 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 1114973815 NPPES
New Hampshire Other 017608Y0NH02 ANTHEM BCBS MCH
New Hampshire Other 0107608Y0NH03 ANTHEM BCBS MCH
New Hampshire MEDICAID 30000253 ANTHEM BCBS MCH

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