White, Robert W

White, Robert W is an individual health care provider with primary practice located at 1520 S 41St St , Manitowoc WI 54220-7312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. White, Robert W can be contacted via phone (920) 320-4660.

Contact Information

Primary practice address
1520 S 41St St Manitowoc WI 54220-7312
Phone: (920) 320-4660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 39073 Colorado

Profile Details

NPI number 1336308907
LBN Legal business name White, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2008
Last updated Nov 18th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336308907 NPPES
New Mexico MEDICAID 28777841
New Mexico MEDICAID 51305879
New Mexico MEDICAID 53938577
New Mexico MEDICAID 94939063
New Mexico MEDICAID 01786342
New Mexico MEDICAID 46650024

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