Provider Demographics
NPI:1740016039
Name:WHITE, JOSEPH CRAIG
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CRAIG
Last Name:WHITE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3112
Mailing Address - Country:US
Mailing Address - Phone:610-330-7307
Mailing Address - Fax:
Practice Address - Street 1:2003 SULLIVAN TRL STE 3
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-8339
Practice Address - Country:US
Practice Address - Phone:484-503-6405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic