White, Kermit E
White, Kermit E is an sole proprietor health care provider with primary practice located at 28430 Herndonwood Drive , Farmington Hills MI 48334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Kermit E can be contacted via phone (248) 504-9723.Contact Information
Primary practice address
28430 Herndonwood Drive
Farmington Hills MI 48334
Phone: (248) 504-9723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301062752 | Michigan |
Profile Details
| NPI number | 1528045903 |
|---|---|
| LBN Legal business name | White, Kermit E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | May 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528045903 | NPPES |
| Other | Q0086502 | SHO | |
| MEDICAID | 200144090 | SHO | |
| Other | 000000081497 | SHO |
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