Witt, Travis J.

Witt, Travis J. is an individual health care provider with primary practice located at 116 E 11Th St Suite 101, Spencer IA 51301-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Witt, Travis J. can be contacted via phone (712) 264-3500.

Contact Information

Primary practice address
116 E 11Th St Suite 101 Spencer IA 51301-4300
Phone: (712) 264-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41225 Iowa

Profile Details

NPI number 1124344833
LBN Legal business name Witt, Travis J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2010
Last updated Jan 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124344833 NPPES
Iowa Other I54910014 MEDICARE PTAN
Iowa Other 1124344833 MEDICARE PTAN
Iowa MEDICAID 1124344833 MEDICARE PTAN

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