Individual
DR. LOUIS ELDEAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1931 HORTON RD, SUITE 10, JACKSON, MI 49203-5594
(517) 788-8251
(517) 788-8704
Mailing address
1931 HORTON RD, SUITE 10, JACKSON, MI 49203-5594
(517) 788-8251
(517) 788-8704
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000896
MI
213ES0131X
Foot Surgery Podiatrist
5901000896
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336
HEALTH PLAN OF MICHIGAN
MI
05
—
2102153
—
MI
01
—
2728009
PHYSICIANS HEALTH PLAN
MI
01
—
4853851270
BCBSM
MI
Enumeration date
11/30/2006
Last updated
12/07/2007
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