White, Jaimie Adelle

White, Jaimie Adelle is an individual health care provider with primary practice located at 1530 Route 9 , Wappingers Falls NY 12590-4131. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. White, Jaimie Adelle can be contacted via phone (845) 297-2511.

Contact Information

Primary practice address
1530 Route 9 Wappingers Falls NY 12590-4131
Phone: (845) 297-2511
Fax: (845) 297-4993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 018605 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 018605 New York

Profile Details

NPI number 1053619817
LBN Legal business name White, Jaimie Adelle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2011
Last updated Feb 2nd, 2017 - about 9 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 1053619817 NPPES
New York MEDICAID 04198481

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