White, Robert Ingersoll

White, Robert Ingersoll is an individual health care provider with primary practice located at 20 York St Ynhh, South Pavilion, 2Nd Fl, New Haven CT 06510-3220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. White, Robert Ingersoll can be contacted via phone (203) 688-2433.

Contact Information

Primary practice address
20 York St Ynhh, South Pavilion, 2Nd Fl New Haven CT 06510-3220
Phone: (203) 688-2433
Fax: (203) 688-9258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 028924 Connecticut
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 028924 Connecticut

Profile Details

NPI number 1215910039
LBN Legal business name White, Robert Ingersoll
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Apr 7th, 2011 - about 13 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 1215910039 NPPES
Connecticut MEDICAID 001289249

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