Dewitt, Coleen C

Dewitt, Coleen C is an individual health care provider with primary practice located at 28455 Haggerty Rd Suite 100, Novi MI 48377-2906. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dewitt, Coleen C can be contacted via phone (248) 553-2200.

Contact Information

Primary practice address
28455 Haggerty Rd Suite 100 Novi MI 48377-2906
Phone: (248) 553-2200
Fax: (248) 553-2201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013598 Michigan

Profile Details

NPI number 1467421958
LBN Legal business name Dewitt, Coleen C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467421958 NPPES
Michigan MEDICAID 4619200

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