Jerry Chad White in Independence - Family Medicine
Jerry Chad White - NPI 1336359017
Jerry Chad White is a Family Medicine in Independence, Missouri. Jerry Chad White practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry Chad White is 1336359017. The last update date is 2022-03-29.
Jerry Chad White's current location address is 17700 E 39th St S, Independence, Missouri. You can contact this provider via phone number 8163930250. The mailing address for Jerry Chad White is 17700 E 39th St S, Independence, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Chad White |
|---|---|
| Address | 17700 E 39th St S, Independence, Missouri |
| Phone Number | 8163930250 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1336359017 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2022-03-29 |
Provider Mailing Address Detail
| Address | 17700 E 39th St S |
|---|---|
| City | Independence |
| State | Missouri (MO) |
| Post Code | 640556725 |
| Phone Number | 8163930250 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2007001654 |
|
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 |
|---|---|---|---|
| 204481402 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry Chad White by the Centers for Medicare & Medicaid Services?
The Jerry Chad White has been assigned the NPI (National Provider Identifier) 1336359017 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jerry Chad White's physical address?
The Jerry Chad White is physically located at 17700 E 39Th St S, in the city of Independence, MO, with the postal code 640556725.
What is the Jerry Chad White's specialty and taxonomy code?
The Jerry Chad White's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Jerry Chad White receive its 1336359017 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Chad White was assigned its 1336359017 by the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the details related to Jerry Chad White most recently updated or revised?
The information pertaining to Jerry Chad White, including its address, specialty, and other relevant details, was last updated or revised on 2022-03-29.
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