White, Jesse William
White, Jesse William is an sole proprietor health care provider with primary practice located at 75 Glamorgan St Ste. 110, Alliance OH 44601-2938. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. White, Jesse William can be contacted via phone (330) 821-2249.Contact Information
Primary practice address
75 Glamorgan St Ste. 110
Alliance OH 44601-2938
Phone: (330) 821-2249
Fax: (330) 821-9318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-002099 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-000439 | Ohio |
Profile Details
| NPI number | 1598763948 |
|---|---|
| LBN Legal business name | White, Jesse William |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jun 19th, 2013 - about 13 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 | 1598763948 | NPPES |
| Ohio | MEDICAID | 0450355 | |
| Ohio | Other | 791650025 |
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