MEDICARE: ELI WHITE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343800000X	Secured Medical Transport (VAN)		CO

General Provider Information

NPI Number	:	1235097668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELI WHITE

Provider Business Mailing Address
First Line	:	9913 E CAROLINA CIR APT 103
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80247-6279
Country	:	US
Telephone Number	:	720-220-8497
Fax Number	:

Provider Business Practice Location Address
First Line	:	9913 E CAROLINA CIR APT 103
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80247-6279
Country	:	US
Telephone Number	:	720-220-8497
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ ELI WHITE ” Practice Location

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