White, Edward J.
White, Edward J. is an individual health care provider with primary practice located at 146 Hazard Ave Suite 101-B, Enfield CT 06082-4571. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. White, Edward J. can be contacted via phone (860) 749-2318.Contact Information
Primary practice address
146 Hazard Ave Suite 101-B
Enfield CT 06082-4571
Phone: (860) 749-2318
Fax: (860) 749-7196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 039210 | Connecticut |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 039210 | Connecticut |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 039210 | Connecticut |
Profile Details
| NPI number | 1104824788 |
|---|---|
| LBN Legal business name | White, Edward J. |
| Credentials | MD, FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Mar 31st, 2010 - about 16 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 | 1104824788 | NPPES |
| Connecticut | Other | 00139210900 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 611419998 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 611419998 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 611419998 | BLUE CARE FAMILY PLAN |
| Connecticut | MEDICAID | 001392109 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | P2718117 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 2V2766 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 611419998 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 611419998 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 010039210CT01 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 206898 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 2991329 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 611419998 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 039210 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 611419998 | BLUE CARE FAMILY PLAN |
| Connecticut | Other | 611419998 | BLUE CARE FAMILY PLAN |
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