White- King, Misty Leigh

White- King, Misty Leigh is an sole proprietor health care provider with primary practice located at 399 Berlin Rd , New Berlin IL 62670-7957. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Suppliers / Durable Medical Equipment & Medical Supplies. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. White- King, Misty Leigh can be contacted via phone (217) 652-0146.

Contact Information

Primary practice address
399 Berlin Rd New Berlin IL 62670-7957
Phone: (217) 652-0146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056005570 Illinois
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 056005570 Illinois

Profile Details

NPI number 1851460778
LBN Legal business name White- King, Misty Leigh
Credentials OCCUPATIONAL THERAPY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jul 24th, 2015 - about 11 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 1851460778 NPPES
Illinois Other 8432032 BCBS PROVIDER NUMBER

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