Dewitte, David

Dewitte, David is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Dewitte, David can be contacted via phone (248) 898-0483.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 48073-6712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 4301054270 Michigan

Profile Details

NPI number 1396704862
LBN Legal business name Dewitte, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 15th, 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 1396704862 NPPES
Michigan MEDICAID 2572006
Michigan Other 350F361320

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