Individual
DAVID A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 PRINCE ST, HARRISBURG, PA 17109-3113
(717) 901-3440
(717) 901-3447
Mailing address
49 PRINCE ST, HARRISBURG, PA 17109-3113
(717) 901-3440
(717) 901-3447
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD072378L
PA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD072378L
PA
207Q00000X
Family Medicine Physician
Primary
MD072378L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101738872
—
PA
05
—
1017388720002
—
PA
05
—
1017388720003
—
PA
01
—
105895ZDK0
MEDICARE GROUP MEMBER PTAN
PA
01
—
1225278922
NPI - TYPE 2
PA
01
—
151017
ASPIRE PTAN
PA
01
—
1556012
GATEWAY
—
01
—
234088
THREE RIVERS
—
01
—
50076490
BLUE CROSS KHP
—
Enumeration date
10/05/2006
Last updated
11/19/2021
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