Witcher, John Edwin

Witcher, John Edwin is an individual health care provider with primary practice located at 1488 Hwy 487 Sebastopol Clinic, Sebastopol MS 39359. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Witcher, John Edwin can be contacted via phone (601) 625-7403.

Contact Information

Primary practice address
1488 Hwy 487 Sebastopol Clinic Sebastopol MS 39359
Phone: (601) 625-7403
Fax: (601) 625-7404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14977 Mississippi
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14977 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 14977 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 14977 Mississippi

Profile Details

NPI number 1932135522
LBN Legal business name Witcher, John Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Nov 11th, 2019 - 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 1932135522 NPPES
Mississippi MEDICAID 00126975

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