White, Wayne

White, Wayne is an sole proprietor health care provider with primary practice located at 10 Peterboro St , Detroit MI 48201-2722. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Agencies / Community/Behavioral Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. White, Wayne can be contacted via phone (313) 831-3160.

Contact Information

Primary practice address
10 Peterboro St Detroit MI 48201-2722
Phone: (313) 831-3160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 43 Michigan
Agencies / Community/Behavioral Health 251S00000X
Other Service Providers / Peer Specialist 175T00000X Michigan

Profile Details

NPI number 1962954982
LBN Legal business name White, Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2016
Last updated Mar 25th, 2024 - about 2 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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