White, Ian Taylor

White, Ian Taylor is an individual health care provider with primary practice located at 5155 Miller Trunk Hwy , Hermantown MN 55811-1203. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. White, Ian Taylor can be contacted via phone (952) 767-4200.

Contact Information

Primary practice address
5155 Miller Trunk Hwy Hermantown MN 55811-1203
Phone: (952) 767-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1184366189
LBN Legal business name White, Ian Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2022
Last updated Apr 11th, 2022 - about 4 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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