White, Michael Alex
White, Michael Alex is an sole proprietor health care provider with primary practice located at 294 Chubby Dr Suite #2, Columbus MS 39705-1358. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. White, Michael Alex can be contacted via phone (662) 244-8393.Contact Information
Primary practice address
294 Chubby Dr Suite #2
Columbus MS 39705-1358
Phone: (662) 244-8393
Fax: (662) 244-8392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 11125 | Mississippi |
Profile Details
| NPI number | 1730181520 |
|---|---|
| LBN Legal business name | White, Michael Alex |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 8th, 2008 - about 18 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 | 1730181520 | NPPES |
| Mississippi | MEDICAID | 00116143 | |
| Mississippi | Other | 050046302 |
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