Dewitt, Andrew Martin

Dewitt, Andrew Martin is an sole proprietor health care provider with primary practice located at 2660 10Th Ave S Ste 2222 , Birmingham AL 35205-1605. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Dewitt, Andrew Martin can be contacted via phone (205) 502-4400.

Contact Information

Primary practice address
2660 10Th Ave S Ste 2222 Birmingham AL 35205-1605
Fax: (205) 502-1210
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 19324 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X 19324 Alabama

Profile Details

NPI number 1396733275
LBN Legal business name Dewitt, Andrew Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Apr 30th, 2025 - about last year

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 1396733275 NPPES
Alabama MEDICAID 529908090

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