Wortham, Brett Mark
Wortham, Brett Mark is an individual health care provider with primary practice located at 2041 Georgia Ave Nw , Washington DC 20060-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Wortham, Brett Mark can be contacted via phone (202) 865-1527.Contact Information
Primary practice address
2041 Georgia Ave Nw
Washington DC 20060-0001
Phone: (202) 865-1527
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | ME97096 | Florida |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD035295 | District of Columbia |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 058308 | Georgia |
Profile Details
| NPI number | 1306853957 |
|---|---|
| LBN Legal business name | Wortham, Brett Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 9th, 2007 - 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 | 1306853957 | NPPES |
| Georgia | MEDICAID | PENDING |
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