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Contact Information

JACOB V WHITE, PhD
3537 W. FRONT STREET
SUITE F
TRAVERSE CITY, MI49684
 Phone: 231-935-8900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACOB V WHITE · (Male)

NPI Number 1548735079
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/11/2018
Last updated 11/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301018202
Hospital affiliation(s) Not Available
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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