Dewitt, John P.

Dewitt, John P. is an sole proprietor health care provider with primary practice located at 4770 Covert Ave Suite 201, Evansville IN 47714-5663. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dewitt, John P. can be contacted via phone (812) 428-6299.

Contact Information

Primary practice address
4770 Covert Ave Suite 201 Evansville IN 47714-5663
Phone: (812) 428-6299
Fax: (812) 490-5359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040964A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X KY-1066 Kentucky

Profile Details

NPI number 1316929722
LBN Legal business name Dewitt, John P.
Credentials PSY.D. HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2005
Last updated Jan 14th, 2008 - about 18 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 1316929722 NPPES
Indiana Other 000000039796 ANTHEM INSURANCE CO

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