White, Douglas E

White, Douglas E is an sole proprietor health care provider with primary practice located at 187 Andover St , Andover MA 01810-5638. He recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. White, Douglas E can be contacted via phone (978) 658-5556.

Contact Information

Primary practice address
187 Andover St Andover MA 01810-5638
Phone: (978) 658-5556
Fax: (978) 658-5269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1184655458
LBN Legal business name White, Douglas E
Credentials MSPT, L/ATC, CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Mar 22nd, 2010 - about 15 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 1184655458 NPPES
Massachusetts Other Y67383 BC/BS
Massachusetts MEDICAID 0308943 BC/BS
Massachusetts Other 467531 BC/BS

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