Stephen Jerome White, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in Apo, AP. Individual provider (NPI-1).
NPI number1285877498
StatusActive
Last updated in NPPESApr 17, 2009
Details
- NPI
- 1285877498
- Entity type
- Individual (NPI-1)
- Name
- Mr. Stephen Jerome White
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2009
- Last updated
- Apr 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
374 Msgs/SgneUnit 5071
Apo, AP 96328
Phone 971-244-0286
Mailing address
2830 Community AveLa Crescenta, CA 91214
Phone 971-244-0286
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.