White, John C.

White, John C. is an individual health care provider with primary practice located at 1615 Maple Lane , Ashland WI 54806. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. White, John C. can be contacted via phone (715) 685-5513.

Contact Information

Primary practice address
1615 Maple Lane Ashland WI 54806
Phone: (715) 685-5513
Fax: (718) 682-4022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37688 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD23757 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37688-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37688-020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37688-20 Wisconsin

Profile Details

NPI number 1275533176
LBN Legal business name White, John C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Nov 24th, 2020 - about 6 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 1275533176 NPPES
Other 390908320 STANDARD TAX ID NUMB
Other 0124793 STANDARD TAX ID NUMB
Other 32252000 STANDARD TAX ID NUMB
Other P00341834 STANDARD TAX ID NUMB
MEDICAID 32252000 STANDARD TAX ID NUMB
Other 314P8WH STANDARD TAX ID NUMB
Other G28181 STANDARD TAX ID NUMB
Other HP60964 STANDARD TAX ID NUMB
Other 1011768 STANDARD TAX ID NUMB

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