White, Therese K
White, Therese K is an individual health care provider with primary practice located at 244 Western Avenue , South Portland ME 04106-2496. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is her primary health care specialty. White, Therese K can be contacted via phone (207) 775-3446.Contact Information
Primary practice address
244 Western Avenue
South Portland ME 04106-2496
Phone: (207) 775-3446
Fax: (207) 879-1646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 013129 | Maine |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 013129 | Maine |
Profile Details
| NPI number | 1124136908 |
|---|---|
| LBN Legal business name | White, Therese K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
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 | 1124136908 | NPPES |
| Maine | MEDICAID | 254460099 |
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