Individual
DR. FRED WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
209 W 10TH ST, METROPOLIS, IL 62960-1503
(618) 524-2001
Mailing address
209 W 10TH ST, METROPOLIS, IL 62960-1503
(618) 524-2001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
08/28/2007
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