Witte, Marcia L.

Witte, Marcia L. is an individual health care provider with primary practice located at 209 Forest St , Mccall ID 83638-5256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Witte, Marcia L. can be contacted via phone (208) 634-1776.

Contact Information

Primary practice address
209 Forest St Mccall ID 83638-5256
Phone: (208) 634-1776
Fax: (208) 634-3873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M8271 Idaho

Profile Details

NPI number 1134271570
LBN Legal business name Witte, Marcia L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 2nd, 2012 - about 14 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 1134271570 NPPES
Other 000010147960 BLUE CROSS OF IDAHO
MEDICAID 806952300 BLUE CROSS OF IDAHO

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