White, Gail M
White, Gail M is an sole proprietor health care provider with primary practice located at 3633 Camino Del Rio S Ste 200, San Diego CA 92108-4011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. White, Gail M can be contacted via phone (619) 260-8200.Contact Information
Primary practice address
3633 Camino Del Rio S Ste 200
San Diego CA 92108-4011
Phone: (619) 260-8200
Fax: (619) 260-8288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY9622 | California |
Profile Details
| NPI number | 1497741128 |
|---|---|
| LBN Legal business name | White, Gail M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | May 21st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497741128 | NPPES |
| Other | 00PL96220 | BCBS | |
| MEDICAID | PY00962201 | BCBS |
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