White, Lareine

White, Lareine is an sole proprietor health care provider with primary practice located at 3401 Bobtown Rd # 1301 , Garland TX 75043-2848. She recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as her primary health care specialty. White, Lareine can be contacted via phone (802) 618-0036.

Contact Information

Primary practice address
3401 Bobtown Rd # 1301 Garland TX 75043-2848
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Texas

Profile Details

NPI number 1154035228
LBN Legal business name White, Lareine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2023
Last updated Jan 12th, 2023 - about 3 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 1154035228 NPPES
Texas MEDICAID 3115

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