White, Robert Ingersoll
White, Robert Ingersoll is an individual health care provider with primary practice located at 20 York St Ynhh, South Pavilion, 2Nd Fl, New Haven CT 06510-3220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. White, Robert Ingersoll can be contacted via phone (203) 688-2433.Contact Information
Primary practice address
20 York St Ynhh, South Pavilion, 2Nd Fl
New Haven CT 06510-3220
Phone: (203) 688-2433
Fax: (203) 688-9258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 028924 | Connecticut |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 028924 | Connecticut |
Profile Details
| NPI number | 1215910039 |
|---|---|
| LBN Legal business name | White, Robert Ingersoll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Apr 7th, 2011 - about 15 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 | 1215910039 | NPPES |
| Connecticut | MEDICAID | 001289249 |
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