Dewitt, John P.
Dewitt, John P. is an sole proprietor health care provider with primary practice located at 4770 Covert Ave Suite 201, Evansville IN 47714-5663. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dewitt, John P. can be contacted via phone (812) 428-6299.Contact Information
Primary practice address
4770 Covert Ave Suite 201
Evansville IN 47714-5663
Phone: (812) 428-6299
Fax: (812) 490-5359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040964A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | KY-1066 | Kentucky |
Profile Details
| NPI number | 1316929722 |
|---|---|
| LBN Legal business name | Dewitt, John P. |
| Credentials | PSY.D. HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2005 |
| Last updated | Jan 14th, 2008 - about 17 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 | 1316929722 | NPPES |
| Indiana | Other | 000000039796 | ANTHEM INSURANCE CO |
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