White, William Michael

White, William Michael is an individual health care provider with primary practice located at 225 Gooding St Suite 1, La Salle IL 61301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. White, William Michael can be contacted via phone (815) 224-1865.

Contact Information

Primary practice address
225 Gooding St Suite 1 La Salle IL 61301
Phone: (815) 224-1865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1962445247
LBN Legal business name White, William Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1962445247 NPPES
Illinois MEDICAID 1004181

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