White, Timothy L
White, Timothy L is an individual health care provider with primary practice located at 4520 Beckley Rd , Battle Creek MI 49015-7941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. White, Timothy L can be contacted via phone (269) 969-8723.Contact Information
Primary practice address
4520 Beckley Rd
Battle Creek MI 49015-7941
Phone: (269) 969-8723
Fax: (269) 969-8724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301081151 | Michigan |
Profile Details
| NPI number | 1013917442 |
|---|---|
| LBN Legal business name | White, Timothy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013917442 | NPPES |
| Michigan | Other | 350A349860 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 104487755 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 151419 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 25193 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 12-30369 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 7277005 | BLUE CROSS BLUE SHIELD |
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