Ledwitch, John William

Ledwitch, John William is an individual health care provider with primary practice located at 3301 N Oak Street Ext , Valdosta GA 31605-1014. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Ledwitch, John William can be contacted via phone (229) 242-6061.

Contact Information

Primary practice address
3301 N Oak Street Ext Valdosta GA 31605-1014
Phone: (229) 242-6061
Fax: (229) 242-6151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN196360 Georgia

Profile Details

NPI number 1528116019
LBN Legal business name Ledwitch, John William
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Dec 6th, 2018 - about 7 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 1528116019 NPPES
Georgia MEDICAID 932057257B
Georgia MEDICAID 932057257E

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