Organization Name: | BENJAMIN A WHITE, DO., LLC |
NPI Number: | 1124279492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BENJAMIN A WHITE (OWNER) |
Mailing Address: | 513 Superior St Rossford |
State: | OH US |
Postal Code: | 434601246 |
Phone Number: | 4196665202 |
Fax Number: | 4196667081 |
NPI Enumeration Date: | 10/06/2008 |
NPI Last Update Date: | 10/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 34.007296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |