Retterbush, David W
Retterbush, David W is an sole proprietor health care provider with primary practice located at 403 Cowart Ave , Valdosta GA 31602-2635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Retterbush, David W can be contacted via phone (229) 244-0034.Contact Information
Primary practice address
403 Cowart Ave
Valdosta GA 31602-2635
Phone: (229) 244-0034
Fax: (229) 244-1871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20145 | Georgia |
Profile Details
| NPI number | 1396910337 |
|---|---|
| LBN Legal business name | Retterbush, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Apr 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396910337 | NPPES |
| Georgia | MEDICAID | 000193278A |
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