Witten, Jonathan Lewis

Witten, Jonathan Lewis is an individual health care provider with primary practice located at 3920 S Dupont Sq Ste C , Louisville KY 40207-4615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Witten, Jonathan Lewis can be contacted via phone (812) 282-3899.

Contact Information

Primary practice address
3920 S Dupont Sq Ste C Louisville KY 40207-4615
Phone: (812) 282-3899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01082597A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X MD181923 Oregon
Allopathic & Osteopathic Physicians / Urology 208800000X 53076 Kentucky

Profile Details

NPI number 1851617732
LBN Legal business name Witten, Jonathan Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2010
Last updated Sep 26th, 2019 - about 7 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 1851617732 NPPES
Indiana MEDICAID 300028277
Indiana MEDICAID 7100626510
Indiana Other 122620025

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