White, Todd J

White, Todd J is an individual health care provider with primary practice located at 2600 W Centre Ave Bronson Internal Medicine Associates, Portage MI 49024-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. White, Todd J can be contacted via phone (269) 324-4141.

Contact Information

Primary practice address
2600 W Centre Ave Bronson Internal Medicine Associates Portage MI 49024-4828
Phone: (269) 324-4141
Fax: (269) 324-2020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101010275 Michigan

Profile Details

NPI number 1134199615
LBN Legal business name White, Todd J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 27th, 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 1134199615 NPPES
Michigan MEDICAID 3244340
Michigan Other CA4396

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