White, James Evan

White, James Evan is an individual health care provider with primary practice located at 921 2Nd Ave S , Fargo ND 58103-1705. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. White, James Evan can be contacted via phone (701) 361-9922.

Contact Information

Primary practice address
921 2Nd Ave S Fargo ND 58103-1705
Phone: (701) 361-9922
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 00000 North Dakota

Profile Details

NPI number 1700524139
LBN Legal business name White, James Evan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2022
Last updated May 25th, 2022 - about 3 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 1700524139 NPPES
North Dakota MEDICAID 171M00000X

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