Individual
JAY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CCSP, ATC
Contact information
Practice address
N8302 US HIGHWAY 12, ELKHORN, WI 53121-2429
(603) 856-6030
Mailing address
N8302 US HIGHWAY 12, ELKHORN, WI 53121-2429
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5701-12
WI
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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