Dewitt, David Charles

Dewitt, David Charles is an individual health care provider with primary practice located at 5320 W Michaels Drive , Appleton WI 54913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Dewitt, David Charles can be contacted via phone (920) 882-8200.

Contact Information

Primary practice address
5320 W Michaels Drive Appleton WI 54913
Phone: (920) 882-8200
Fax: (920) 882-8210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 43873-20 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 43873-20 Wisconsin

Profile Details

NPI number 1265424485
LBN Legal business name Dewitt, David Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 22nd, 2022 - about 3 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 1265424485 NPPES
Wisconsin MEDICAID 34616400

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