White, Roberta Mary

White, Roberta Mary is an individual health care provider with primary practice located at 399 E Main St , Columbus OH 43215-5384. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. White, Roberta Mary can be contacted via phone (614) 355-8550.

Contact Information

Primary practice address
399 E Main St Columbus OH 43215-5384
Fax: (614) 355-8593
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E4305 Ohio

Profile Details

NPI number 1730129982
LBN Legal business name White, Roberta Mary
Credentials PCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 1st, 2011 - about 14 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 1730129982 NPPES
Ohio MEDICAID 08258

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