Bitwinski, John Gerard

Bitwinski, John Gerard is an individual health care provider with primary practice located at 44 N 100 E , Preston ID 83263-1326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bitwinski, John Gerard can be contacted via phone (208) 852-1937.

Contact Information

Primary practice address
44 N 100 E Preston ID 83263-1326
Phone: (208) 852-1937
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-8805 Idaho

Profile Details

NPI number 1124026539
LBN Legal business name Bitwinski, John Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Apr 20th, 2015 - about 9 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 1124026539 NPPES
Wyoming MEDICAID 116516000
Wyoming MEDICAID 806584400
Wyoming MEDICAID D4917

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