Davito, William W

Davito, William W is an individual health care provider with primary practice located at 4150 Se Adams Rd , Bartlesville OK 74104-8410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davito, William W can be contacted via phone (918) 331-9979.

Contact Information

Primary practice address
4150 Se Adams Rd Bartlesville OK 74104-8410
Fax: (918) 331-2346
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3185 Oklahoma
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 27912 Kansas

Profile Details

NPI number 1164417515
LBN Legal business name Davito, William W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jan 15th, 2014 - about 11 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 1164417515 NPPES
Oklahoma MEDICAID 100112210C
Oklahoma MEDICAID 100112210D

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