Witham, Larry E
Witham, Larry E is an individual health care provider with primary practice located at Madigan Army Medical Ctr 9040A Reid Street, Tacoma WA 98431-1100. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Witham, Larry E can be contacted via phone (541) 922-3104.Contact Information
Primary practice address
Madigan Army Medical Ctr 9040A Reid Street
Tacoma WA 98431-1100
Phone: (541) 922-3104
Fax: (541) 922-2951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00965 | Oregon |
Profile Details
| NPI number | 1033114954 |
|---|---|
| LBN Legal business name | Witham, Larry E |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | May 16th, 2013 - about 12 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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