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NPI Code Detail

MEDICARE: GINGER WHITE

MEDICARE: GINGER 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
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760823538
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINGER WHITE
Provider Business Mailing Address
First Line : 900 N COUNTRY CLUB RD
Second Line :
City : ADA
State : OK
Zip : 74820-2846
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 W 18TH ST
Second Line :
City : ADA
State : OK
Zip : 74820-7423
Country : US
Telephone Number : 580-436-6130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 07/09/2013

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Directions to “ GINGER WHITE ” Practice Location

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