Provider Demographics
NPI:1346026606
Name:WHITE, STEPHEN (OWNER)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:WHITE
Suffix:
Gender:M
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 LABARRE RD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2113
Mailing Address - Country:US
Mailing Address - Phone:415-961-2175
Mailing Address - Fax:207-870-3796
Practice Address - Street 1:808 LABARRE RD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2113
Practice Address - Country:US
Practice Address - Phone:415-961-2175
Practice Address - Fax:207-870-3796
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies