Witham, Lloyd E.

Witham, Lloyd E. is an individual health care provider with primary practice located at 1107 W Ironwood Dr , Coeur D Alene ID 83814-2604. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Witham, Lloyd E. can be contacted via phone (208) 667-7459.

Contact Information

Primary practice address
1107 W Ironwood Dr Coeur D Alene ID 83814-2604
Phone: (208) 667-7459
Fax: (208) 667-2631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M5216 Idaho

Profile Details

NPI number 1467448860
LBN Legal business name Witham, Lloyd E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Oct 29th, 2010 - about 15 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 1467448860 NPPES
Idaho MEDICAID 002626200
Idaho Other 200004982

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