Dewitt, Stephen
Dewitt, Stephen is an individual health care provider with primary practice located at 800 W 9Th St , Jasper IN 47546-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dewitt, Stephen can be contacted via phone (812) 996-0323.Contact Information
Primary practice address
800 W 9Th St
Jasper IN 47546-2514
Phone: (812) 996-0323
Fax: (812) 996-0321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 02001330 | Indiana |
Profile Details
| NPI number | 1225192362 |
|---|---|
| LBN Legal business name | Dewitt, Stephen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Sep 9th, 2020 - about 6 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 | 1225192362 | NPPES |
| Indiana | MEDICAID | 200055720A | |
| Indiana | Other | 0000000881030 | |
| Indiana | Other | 02001330 |
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