White, William Mark

White, William Mark is an individual health care provider with primary practice located at 500 S University Ave Ste 101, Little Rock AR 72205-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. White, William Mark can be contacted via phone (501) 664-3914.

Contact Information

Primary practice address
500 S University Ave Ste 101 Little Rock AR 72205-5302
Fax: (501) 664-5246
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C 7342 Arkansas

Profile Details

NPI number 1922095140
LBN Legal business name White, William Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Dec 9th, 2011 - about 14 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 1922095140 NPPES
Arkansas MEDICAID 114262001

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