Dewitt, Andrew Martin
Dewitt, Andrew Martin is an individual health care provider with primary practice located at 2700 10Th Ave S Ste 406 , Birmingham AL 35205-1250. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dewitt, Andrew Martin can be contacted via phone (205) 502-4400.Contact Information
Primary practice address
2700 10Th Ave S Ste 406
Birmingham AL 35205-1250
Phone: (205) 502-4400
Fax: (205) 502-1210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19324 | Alabama |
Profile Details
| NPI number | 1396733275 |
|---|---|
| LBN Legal business name | Dewitt, Andrew Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Aug 22nd, 2019 - about 6 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 | 1396733275 | NPPES |
| Alabama | MEDICAID | 529908090 |
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