White, Sean Rae

White, Sean Rae is an sole proprietor health care provider with primary practice located at 501 W Pioneer Ave , Montesano WA 98563-4323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. White, Sean Rae can be contacted via phone (360) 637-8108.

Contact Information

Primary practice address
501 W Pioneer Ave Montesano WA 98563-4323
Phone: (360) 637-8108
Fax: (360) 637-8709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 81719 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60082203 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 60082203 Washington

Profile Details

NPI number 1720262421
LBN Legal business name White, Sean Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2007
Last updated Nov 6th, 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 1720262421 NPPES
Washington Other 1689027328 GROUP NPI
Washington Other 1912130006 GROUP NPI
Washington Other 81719 GROUP NPI

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