Provider Demographics
NPI:1336809508
Name:WHITE, JOSEPH ALEXANDER (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ALEXANDER
Last Name:WHITE
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:10 CLINTON ST APT 5
Mailing Address - Street 2:
Mailing Address - City:GALETON
Mailing Address - State:PA
Mailing Address - Zip Code:16922-1438
Mailing Address - Country:US
Mailing Address - Phone:717-742-8468
Mailing Address - Fax:
Practice Address - Street 1:103 FORESTVIEW AVE
Practice Address - Street 2:
Practice Address - City:ELKLAND
Practice Address - State:PA
Practice Address - Zip Code:16920-1403
Practice Address - Country:US
Practice Address - Phone:814-258-5117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical