Individual
DR. LARRY EDWARD WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
787 PEARL ST, BROCKTON, MA 02301-4425
(508) 583-5660
(508) 583-1800
Mailing address
787 PEARL ST., BROCKTON, MA 02301
(508) 583-5660
(508) 583-1800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
533
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1602985
—
MA
01
—
WHY35353
BLUE CROSS
MA
01
—
Y39454
BLUE CROSS GROUP
MA
Enumeration date
12/20/2006
Last updated
09/27/2013
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