White, Roberta
White, Roberta is an individual health care provider with primary practice located at 720 Harrison Ave Suite 707, Boston MA 02118-2371. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. White, Roberta can be contacted via phone (617) 638-8456.Contact Information
Primary practice address
720 Harrison Ave Suite 707
Boston MA 02118-2371
Phone: (617) 638-8456
Fax: (617) 638-8465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2761 | Massachusetts |
Profile Details
| NPI number | 1487617007 |
|---|---|
| LBN Legal business name | White, Roberta |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1487617007 | NPPES |
| Massachusetts | MEDICAID | 0509086 |
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