White, Robert Silliman

White, Robert Silliman is an individual health care provider with primary practice located at 64 Trumbull St 2 , New Haven CT 06510-1028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. White, Robert Silliman can be contacted via phone (203) 214-8768.

Contact Information

Primary practice address
64 Trumbull St 2 New Haven CT 06510-1028
Fax: (203) 752-9387
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 017661 Connecticut

Profile Details

NPI number 1568466134
LBN Legal business name White, Robert Silliman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Oct 16th, 2015 - about 9 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 1568466134 NPPES
Connecticut MEDICAID 001176619

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