Witkowski, Mark T.

Witkowski, Mark T. is an individual health care provider with primary practice located at 1 Hospital Plz , Grafton WV 26354-1283. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Witkowski, Mark T. can be contacted via phone (304) 265-7406.

Contact Information

Primary practice address
1 Hospital Plz Grafton WV 26354-1283
Phone: (304) 265-7406
Fax: (304) 265-6443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16996 West Virginia

Profile Details

NPI number 1659366052
LBN Legal business name Witkowski, Mark T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 5th, 2014 - about 11 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 1659366052 NPPES
West Virginia MEDICAID 0053404000

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