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Contact Information

COREY WHITE, DO, MBA
525 LILLY RD NE
OLYMPIA, WA98506-5101
 Phone: 360-413-8550
 Fax: 360-413-8827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for COREY WHITE · (Male)

NPI Number 1154610814
Status Active
Credentials DO, MBA
Entity Individual
Enumeration date 04/04/2011
Last updated 01/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OP60739312
Hospital affiliation(s)
  • PROVIDENCE ST PETER HOSPITAL - (Acute Care)
    413 LILLY ROAD NE
    OLYMPIA, WA 98506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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