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Contact Information

ROBERT L WHITE JR, MD
5550 S EAST ST STE C
INDIANAPOLIS, IN46227-1991
 Phone: 317-780-4080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ROBERT L WHITE JR · (Male)

NPI # 1093723496
Status Active
Credentials MD
Entity Individual
Enumeration date 08/03/2006
Last updated 02/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01043583A
  • OH License # 35.090717
  • IN Medicaid 200091330
  • OH Medicaid 2562089
  • Other 000000354072 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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