Individual
MICHAEL D WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3234
(208) 463-3044
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
(208) 463-3044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT-1206
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010017665
BLUECROSS
ID
01
—
000010017666
BLUECROSS
ID
05
—
805659700
—
ID
01
—
970014195
RAILROAD MEDICARE
ID
01
—
PA332
BLUE CROSS
ID
01
—
PA837
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
02/19/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us