Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 4301059514 | MI |
N | 207R00000X | Internist | 4301059514 | MI |
N | 111NI0900X | Internist | 4301059514 | MI |
NPI | 1003815234 |
---|---|
Provider Name | Dr. Anne Hughes White |
First Address | Shelby Township, MI 48315-3140 |
Second Address | Shelby Township, MI 48315-3140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 31/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0502784 | BLUE CROSS AND BLUE SHIELD (01) | MI |
120341 | PREFERRED CHOICES (01) | MI |
3454642 | (05) | MI |
50153146 | HAP (01) | MI |
5844552 | AETNA (01) | MI |
C5746 | M-CARE (01) | MI |
G22248 | (02) |