White, Christopher Mark

White, Christopher Mark is an individual health care provider with primary practice located at 125 4Th Ave Ne , St Petersburg FL 33701-3401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. White, Christopher Mark can be contacted via phone (727) 585-8591.

Contact Information

Primary practice address
125 4Th Ave Ne St Petersburg FL 33701-3401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS20881 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X OS20881 Florida

Profile Details

NPI number 1962935742
LBN Legal business name White, Christopher Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2017
Last updated Oct 21st, 2024 - about 2 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 1962935742 NPPES
Florida Other OS20881 STATE LICENSE

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