Provider Demographics
NPI:1174386221
Name:WHITE, EMILY JOSEFINA (DC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JOSEFINA
Last Name:WHITE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JOSEFINA
Other - Last Name:HOYT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1051 MADISON AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-6143
Mailing Address - Country:US
Mailing Address - Phone:507-625-1085
Mailing Address - Fax:
Practice Address - Street 1:1051 MADISON AVE STE 2
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6143
Practice Address - Country:US
Practice Address - Phone:507-625-1085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor