White, Krista

White, Krista is an individual health care provider with primary practice located at 13 Northtown Drive Suite 110 Trinity Rehabilitation, Inc., Jackson MS 39211. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. White, Krista can be contacted via phone (601) 206-9195.

Contact Information

Primary practice address
13 Northtown Drive Suite 110 Trinity Rehabilitation, Inc. Jackson MS 39211
Phone: (601) 206-9195
Fax: (601) 957-8391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 06376R Louisiana

Profile Details

NPI number 1164827861
LBN Legal business name White, Krista
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Oct 24th, 2014 - about 12 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 1164827861 NPPES
Mississippi MEDICAID 09014160

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