Organization
BENJAMIN A WHITE, DO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN A WHITE 4196665202 (OWNER)
(419) 666-5202
Entity
Organization
Contact information
Practice address
513 SUPERIOR ST, ROSSFORD, OH 43460-1246
(419) 666-5202
(419) 666-7081
Mailing address
513 SUPERIOR ST, ROSSFORD, OH 43460-1246
(419) 666-5202
(419) 666-7081
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
34.007296
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2293905
—
OH
Enumeration date
10/06/2008
Last updated
10/06/2008
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