person
Mr. Simon Wilcox White, BS
Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia
NPI 1609576685

Simon Wilcox White is a Student in an Organized Health Care Education/Training Program based in Charlottesville, VA. Simon Wilcox White practices in Charlottesville, VA and has the professional credentials of BS. The NPI Number for Simon Wilcox White is 1609576685 and holds a License No. (Virginia).

The current practice location address for Simon Wilcox White is 1215 Lee St, Charlottesville, VA and can be reached out via phone at 434-924-3627.

Location: 1215 Lee St, Charlottesville, VA, 22903-3580
person
Provider Profile Details
NPI Number
1609576685
Provider Name
Simon Wilcox White
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
1215 Lee St, Charlottesville, VA, 22903-3580
Phone Number
434-924-3627
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
357907571012 05 VA
institution
Provider Business Practice Location Address Details
Address
1215 Lee St
City
State
Zip
22908-0816
Phone Number
434-924-3627
Fax Number
person
Provider Business Mailing Address Details
Address
1215 Lee St
City
State
Zip
22908-0816
Phone Number
434-924-3627
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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