White, Elise A
White, Elise A is an individual health care provider with primary practice located at 3243 W 3Rd St , Bloomington IN 47404-4835. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. White, Elise A can be contacted via phone (812) 668-1880.Contact Information
Primary practice address
3243 W 3Rd St
Bloomington IN 47404-4835
Phone: (812) 668-1880
Fax: (812) 668-1881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 34746 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070013153 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05010313A | Indiana |
Profile Details
| NPI number | 1033251327 |
|---|---|
| LBN Legal business name | White, Elise A |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033251327 | NPPES |
| Indiana | MEDICAID | 201064510 |
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