Dewitt, Tanya S

Dewitt, Tanya S is an sole proprietor health care provider with primary practice located at 75 Thomas Johnson Drive Suite J, Frederick MD 21702-4895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dewitt, Tanya S can be contacted via phone (301) 620-0010.

Contact Information

Primary practice address
75 Thomas Johnson Drive Suite J Frederick MD 21702-4895
Phone: (301) 620-0010
Fax: (301) 682-3977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 233739 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10361 New Hampshire
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 8398 Vermont
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D33419 Maryland

Profile Details

NPI number 1881753689
LBN Legal business name Dewitt, Tanya S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Nov 9th, 2015 - about 9 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 1881753689 NPPES
Massachusetts MEDICAID 2144557
Massachusetts MEDICAID 30011547

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