Individual
JASON CHARLES WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
107 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 393-6688
(334) 393-7011
Mailing address
PO BOX 310901, ENTERPRISE, AL 36331-0901
(334) 393-6688
(334) 393-7011
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
4170
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51147100
BCBSAL
AL
01
—
51147102
BCBSAL
AL
01
—
51147103
BCBSAL
AL
Enumeration date
02/28/2013
Last updated
10/01/2015
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