Witham, Kevin J
Witham, Kevin J is an individual health care provider with primary practice located at 12 Alfred St Suite 200, Woburn MA 01801-1915. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Witham, Kevin J can be contacted via phone (781) 646-0500.Contact Information
Primary practice address
12 Alfred St Suite 200
Woburn MA 01801-1915
Phone: (781) 646-0500
Fax: (781) 646-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8413 | Massachusetts |
Profile Details
| NPI number | 1437202306 |
|---|---|
| LBN Legal business name | Witham, Kevin J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437202306 | NPPES |
| Massachusetts | Other | 8413 | LICENSE |
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