White, Dennis

White, Dennis is an sole proprietor health care provider with primary practice located at 246 Northland Drive Suite 200A , Medina OH 44256-3440. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. White, Dennis can be contacted via phone (330) 725-9195.

Contact Information

Primary practice address
246 Northland Drive Suite 200A Medina OH 44256-3440
Fax: (330) 725-9187
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICDC.976187-CS Ohio

Profile Details

NPI number 1174974604
LBN Legal business name White, Dennis
Credentials LICDC-CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2016
Last updated Jun 27th, 2016 - about 10 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 1174974604 NPPES
Ohio Other ICDC.976187-CS LICENSE NUMBER

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