Dewitt, Paul Theodore
Dewitt, Paul Theodore is an sole proprietor health care provider with primary practice located at 1005 W Green St Suite 100, Hastings MI 49058-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dewitt, Paul Theodore can be contacted via phone (269) 948-2173.Contact Information
Primary practice address
1005 W Green St Suite 100
Hastings MI 49058-1712
Phone: (269) 948-2173
Fax: (269) 948-4489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PD039384 | Michigan |
Profile Details
| NPI number | 1952340192 |
|---|---|
| LBN Legal business name | Dewitt, Paul Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Mar 20th, 2014 - about 12 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 | 1952340192 | NPPES |
| Michigan | MEDICAID | 2093009 |
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