Jordan C. White in Pawtucket - Family Medicine
Jordan C. White - NPI 1821104290
Jordan C. White is a Family Medicine in Pawtucket, Rhode Island. Jordan C. White practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jordan C. White is 1821104290. The last update date is 2011-09-22.
Jordan C. White's current location address is 111 Brewster Street, Pawtucket, Rhode Island. You can contact this provider via phone number 4017293481 and fax number 4017292721. The mailing address for Jordan C. White is 111 Brewster Street, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan C. White |
|---|---|
| Address | 111 Brewster Street, Pawtucket, Rhode Island |
| Phone Number | 4017293481 |
| Fax Number | 4017292721 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821104290 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2011-09-22 |
Provider Mailing Address Detail
| Address | 111 Brewster Street |
|---|---|
| City | Pawtucket |
| State | Rhode Island (RI) |
| Post Code | 28604474 |
| Phone Number | 4017293481 |
| Fax Number | 4017292721 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | LP00927 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JW88517 | RI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jordan C. White by the Centers for Medicare & Medicaid Services?
The Jordan C. White has been assigned the NPI (National Provider Identifier) 1821104290 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jordan C. White?
The Jordan C. White is situated at 111 Brewster Street, in the city of Pawtucket, state of RI, with the zip code 28604474.
What is the Jordan C. White's specialty and taxonomy code?
The Jordan C. White's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821104290 to Jordan C. White?
The Jordan C. White received its 1821104290 assignment from the Centers for Medicare & Medicaid Services on 2006-08-21.
When was the information related to Jordan C. White most recently updated or refreshed?
The details pertaining to the Jordan C. White, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-22.