Individual
DR. JASON MATHIEU WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1016 N SAGINAW ST, SUITE C, HOLLY, MI 48442-1351
(248) 328-9800
(248) 328-9801
Mailing address
1016 N SAGINAW ST, SUITE C, HOLLY, MI 48442-1351
(248) 328-9800
(248) 328-9801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
JW008827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144804567
—
MI
01
—
201977591
PPOM
MI
01
—
950F325020
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/01/2006
Last updated
11/28/2012
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