De Vere White, Ralph W

De Vere White, Ralph W is an individual health care provider with primary practice located at 4860 Y St Suite 3500, Sacramento CA 95817-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. De Vere White, Ralph W can be contacted via phone (916) 734-5154.

Contact Information

Primary practice address
4860 Y St Suite 3500 Sacramento CA 95817-2307
Fax: (916) 734-8094
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X CA-C41591 California

Profile Details

NPI number 1801879325
LBN Legal business name De Vere White, Ralph W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801879325 NPPES
California MEDICAID 00C415910

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