White, Judson
White, Judson is an sole proprietor health care provider with primary practice located at 1520 E Heritage Park St Ste 150 , Meridian ID 83646-6837. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. White, Judson can be contacted via phone (208) 895-2600.Contact Information
Primary practice address
1520 E Heritage Park St Ste 150
Meridian ID 83646-6837
Phone: (208) 895-2600
Fax: (208) 895-2700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA1741 | Idaho |
Profile Details
| NPI number | 1467998807 |
|---|---|
| LBN Legal business name | White, Judson |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2017 |
| Last updated | May 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467998807 | NPPES |
| Idaho | MEDICAID | 20012413 |
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