Mcwhite, Kertrisa R
Mcwhite, Kertrisa R is an individual health care provider with primary practice located at 540 Saybrook Rd Ste 100 , Middletown CT 06457-4760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Mcwhite, Kertrisa R can be contacted via phone (860) 358-2850.Contact Information
Primary practice address
540 Saybrook Rd Ste 100
Middletown CT 06457-4760
Phone: (860) 358-2850
Fax: (860) 358-8661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 67547 | Connecticut |
Profile Details
| NPI number | 1023053485 |
|---|---|
| LBN Legal business name | Mcwhite, Kertrisa R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | May 4th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023053485 | NPPES |
| Connecticut | MEDICAID | 008101457 | |
| Connecticut | Other | Z51050 | |
| Connecticut | Other | 8708239 | |
| Connecticut | MEDICAID | 204295 |
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