MEDICARE: CHRISTOPHER ROBERT WHITE MD

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	207P00000X	Emergency Medicine Physician	35074150W	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	942460636239	OTHER	OH	CARESOURCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588605109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ROBERT WHITE MD

Provider Business Mailing Address
First Line	:	PO BOX 298
Second Line	:
City	:	AURORA
State	:	OH
Zip	:	44202-0298
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33001 SOLON RD
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-2839
Country	:	US
Telephone Number	:	440-349-2516
Fax Number	:

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/08/2007

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