Individual
DR. ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 BAKER AVE, GLACIER MEDICAL ASSOCIATES, WHITEFISH, MT 59937-2901
(406) 862-2515
(406) 862-4229
Mailing address
1111 BAKER AVE, GLACIER MEDICAL ASSOCIATES, WHITEFISH, MT 59937-2901
(406) 862-2515
(406) 862-4229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10521
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000008287
MEDICARE PART B GRP ID#
MT
01
—
0000095270
BCBS
MT
01
—
000091456
BLUECROSS/SHIELD PIN
MT
05
—
0147271
—
MT
05
—
0150358
—
MT
05
—
0355628
—
MT
01
—
10521
MONTANA STATE LICENSE
MT
01
—
1104882232
GLACIER MEDICAL ASSOC NPI
MT
01
—
27D0411341
CLIA ID#--LAB CERT
MT
01
—
810350909
FEIN
MT
01
—
CI2709
RAILROAD MEDIARE GRP ID#
MT
01
—
P00249493
RAILROAD MEDICARE PIN#
MT
Enumeration date
02/24/2006
Last updated
05/12/2008
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