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
Phone: (614) 355-8550
Fax: (614) 355-8593
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730129982 | NPPES |
Ohio | MEDICAID | 08258 |
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