Individual
JASON F WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6221 PHYSICIANS CT, SUITE 1, EVANSVILLE, IN 47715-4031
(812) 479-3153
(812) 473-8166
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 479-3153
(812) 473-8166
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
01056975A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20041099OA
—
IN
Enumeration date
08/28/2006
Last updated
12/02/2013
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