person
Mr. Joshua John White, PA
Medical Physician Assistant in Appleton, Wisconsin
NPI 1063478055

Joshua John White is a Medical Physician Assistant based in Appleton, WI and is specialized in Medical. Joshua John White practices in Appleton, WI and has the professional credentials of PA. The NPI Number for Joshua John White is 1063478055 and holds a License No. 3618 (Wisconsin).

The current practice location address for Joshua John White is 1818 N Meade St, Appleton, WI and can be reached out via phone at 920-731-8900 and via fax at 920-225-1479. You can also correspond with Joshua John White through the mailing address at PO BOX 8003, APPLETON, WI - 54912-8003 (mailing address contact number: 920-738-4780).

Location: 1818 N Meade St, Appleton, WI, 54912-8003
person
Provider Profile Details
NPI Number
1063478055
Provider Name
Joshua John White
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1818 N Meade St, Appleton, WI, 54912-8003
Phone Number
920-731-8900
Fax Number
920-225-1479
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
450030728 01 WI MEDICARE PTAN
711290124 01 WI MEDICARE PTAN
WI2257002 01 WI MEDICARE PTAN
41937200 05 WI
100002112A 05 GA
institution
Provider Business Practice Location Address Details
Address
1818 N Meade St
City
State
Zip
54911-3454
Phone Number
920-731-8900
Fax Number
920-225-1479
person
Provider Business Mailing Address Details
Address
Po Box 8003
City
State
Zip
54912-8003
Phone Number
920-738-4780
Fax Number
920-738-5787
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
2096 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3618 (Georgia)
Definition
Definition to come...
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