Provider Demographics
NPI:1356677074
Name:WHITE, DAWN DENISE (RRT)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:DENISE
Last Name:WHITE
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:46750-3732
Mailing Address - Country:US
Mailing Address - Phone:260-358-8373
Mailing Address - Fax:
Practice Address - Street 1:65 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:IN
Practice Address - Zip Code:46750-3732
Practice Address - Country:US
Practice Address - Phone:260-358-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN30004676A2279G1100X
TX696162279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care