Dewitt, Michael Shane

Dewitt, Michael Shane is an individual health care provider with primary practice located at 506 Chestnut Street , South Charleston WV 25309-1402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dewitt, Michael Shane can be contacted via phone (304) 766-8558.

Contact Information

Primary practice address
506 Chestnut Street South Charleston WV 25309-1402
Fax: (304) 766-8561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1255 West Virginia

Profile Details

NPI number 1760485593
LBN Legal business name Dewitt, Michael Shane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Dec 22nd, 2021 - about 4 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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