White, Ronda

White, Ronda is an individual health care provider with primary practice located at 708 Magazine St , Louisville KY 40203-2043. 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, Ronda can be contacted via phone (502) 589-8600.

Contact Information

Primary practice address
708 Magazine St Louisville KY 40203-2043
Fax: (502) 589-8771
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 104582 Kentucky

Profile Details

NPI number 1164555215
LBN Legal business name White, Ronda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jun 15th, 2016 - about 8 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 1164555215 NPPES
Kentucky MEDICAID 7100283690

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