Dewitt, Stephanie Dawn

Dewitt, Stephanie Dawn is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Dewitt, Stephanie Dawn can be contacted via phone (855) 446-5937.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (855) 446-5937
Fax: (740) 446-5956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.127830 Ohio

Profile Details

NPI number 1063791689
LBN Legal business name Dewitt, Stephanie Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2011
Last updated Jan 21st, 2021 - about 5 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 1063791689 NPPES
Ohio MEDICAID 0197206
Ohio MEDICAID 0122593
Ohio MEDICAID 1063791689

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