Witcher, Brycen

Witcher, Brycen is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Student Health is his primary health care specialty. Witcher, Brycen can be contacted via phone (601) 984-1000.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31788 Mississippi
Ambulatory Health Care Facilities / Student Health 261QS1000X Mississippi

Profile Details

NPI number 1356924476
LBN Legal business name Witcher, Brycen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2021
Last updated Apr 8th, 2024 - about 7 months 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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