White, Stanley D

White, Stanley D is an individual health care provider with primary practice located at 27535 Us Highway 98 , Daphne AL 36526-4839. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. White, Stanley D can be contacted via phone (251) 625-0909.

Contact Information

Primary practice address
27535 Us Highway 98 Daphne AL 36526-4839
Phone: (251) 625-0909
Fax: (251) 380-7390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA182 Alabama

Profile Details

NPI number 1780684977
LBN Legal business name White, Stanley D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 2nd, 2016 - about 10 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 1780684977 NPPES
Alabama MEDICAID 051503930
Alabama Other 970022612

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