Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 25439 | WV |
Y | 111NI0900X | Internist | 25439 | WV |
N | 207R00000X | Internist | 4301098054 | MI |
N | 111NI0900X | Internist | 4301098054 | MI |
NPI | 1003072810 |
---|---|
Provider Name | Leonard White |
First Address | Maumee, OH 43537-1539 |
Second Address | Huntington, WV 25701-3662 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2008 |
Last Update Date | 02/12/2021 |