DR. ROBERT WALLACE WHITE (NPI# 1033241245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033241245 |
Entity Type | Individual |
Full Name | DR. ROBERT WALLACE WHITE |
Credential | D.C. |
Practice Address |
307 Henderson Rd Knoxville IL 61448-1019 |
Practice Telephone | 3092894000 |
Practice Fax Number | 3092894001 |
Mailing Telephone | 3092894000 |
Mailing Fax Number | 3092894001 |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038-008364 | IL | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | TAX ID | 37-1366738 | 01 |
IL | PROF. LICENSE | 038-008364 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114557386 | Robert White | Chiropractor | 13530 Glynshel Dr, Winter Garden, FL 34787-5000 | 2020-01-16 |
1063947133 | Robert M. White Jr. | Internal Medicine | 12054 Eaglewood Ct, Silver Spring, MD 20902-1876 | 2017-04-26 |
1457730608 | Robert White | Counselor | 4915 E Russell Rd Apt 172, Las Vegas, NV 89120-2390 | 2015-05-20 |
1689980336 | Robert White | Nutritionist | 178 Slater Park Ave, Pawtucket, RI 02861-3214 | 2010-08-19 |
1598084857 | Robert Glenn White Jr. | Behavioral Analyst | 1223 N 4th Ave, Durant, OK 74701-3309 | 2010-05-26 |
1457528002 | Robert L White Jr. | Massage Therapist | 4444 B St Se, #3, Washington, DC 20019-4362 | 2008-05-13 |
1720277858 | Robert Scott White | Family Medicine | 7625 N. University Street, Peoria, IL 61614-1253 | 2007-10-15 |
1821213950 | Robert Neil White | Physical Therapist | 2815 W Pearl Ave, Tampa, FL 33611-4015 | 2007-04-16 |
1174646277 | Robert J White | Chiropractor | 442 Morris Ave, Springfield, NJ 07081-1128 | 2007-04-06 |
1881714764 | Robert Cecil White Jr. | Dentist | 914 Medallion Dr, Greenwood, MS 38930-2118 | 2007-04-02 |
Street Address |
307 HENDERSON RD |
City | KNOXVILLE |
State | IL |
Zip Code | 61448-1019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942567938 | Robert W. & Amy White | Chiropractor | 307 Henderson Rd, Knoxville, IL 61448-1019 | 2012-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801980826 | Steven D Shonkwiler | Orthopaedic Surgery | 513 Newman St, Knoxville, IL 61448 | 2006-10-03 |
1568483329 | Good Samaritan Nursing Home | Nursing Home Administrator | 407 N Hebard Street, Knoxville, IL 61448 | 2006-07-21 |
1326035304 | County of Knox | Skilled Nursing Facility | 800 N Market St, Knoxville, IL 61448-1096 | 2005-10-04 |
1568927150 | Michelle Nelson | Occupational Therapy Assistant | 800 N Market St, Knoxville, IL 61448-1096 | 2019-02-07 |
1295299923 | Marci Tyrrell | Physical Therapy Assistant | 800 N Market St, Knoxville, IL 61448-1096 | 2019-01-28 |
1740612704 | Jinal Gala | Speech-Language Pathologist | 800 N Market St, Knoxville, IL 61448-1096 | 2013-08-01 |
1033354725 | Knox County Nursing Home | Skilled Nursing Facility | 800 N Market St, Knoxville, IL 61448-1096 | 2008-12-09 |
1912550302 | Katherine Michele Morrissey | Occupational Therapist | 800 N Market St, Knoxville, IL 61448-1097 | 2019-07-24 |
1639138134 | Good Samaritan Nursing Home | Nursing Facility/Intermediate Care Facility | 407 N Hebard St, Knoxville, IL 61448-1174 | 2006-03-22 |
1366597353 | Michael Kotula | Chiropractor | 106 E Public Sq, Knoxville, IL 61448-1300 | 2007-01-23 |
Find all providers in zip 61448 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477176105 | Ryan Dolan | Chiropractor | 5400 Clinton Hwy Ste 105, Knoxville, TN 37912-3444 | 2020-05-28 |
1134779226 | Matthew Cain | Chiropractor | 7039 Maynardville Pike, Knoxville, TN 37918-5735 | 2019-09-19 |
1902379746 | The Vitality Chiropractic PC | Chiropractor | 7216 Wellington Dr Ste 3, Knoxville, TN 37919-5931 | 2019-01-04 |
1326554577 | Natalie Kurylo | Chiropractor | 1400 N 6th Ave # E1, Knoxville, TN 37917-6043 | 2017-12-26 |
1023528486 | Ryan Teeter | Chiropractor | 117 Center Park Dr Ste 333, Knoxville, TN 37922-2171 | 2017-10-11 |
1043750888 | Kristin Drumheller | Chiropractor | 5400 Clinton Hwy, Suite 105, Knoxville, TN 37912-3458 | 2017-02-27 |
1992179956 | Bridges Chiropractic | Chiropractor | 117 Huxley Rd Ste B1, Knoxville, TN 37922-3180 | 2015-11-13 |
1891171187 | Sara Nelson | Chiropractor | 7827 Montvue Center Way, Knoxville, TN 37919-5575 | 2015-08-10 |
1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
1750719191 | The Health Factory Pllc | Chiropractor | 2900 Alcoa Hwy, Knoxville, TN 37920-4782 | 2013-10-22 |
Find all providers in KNOXVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.