Witham, Peter H

Witham, Peter H is an individual health care provider with primary practice located at 16 Community Ln , Southwest Harbor ME 04679-4273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Witham, Peter H can be contacted via phone (207) 244-5630.

Contact Information

Primary practice address
16 Community Ln Southwest Harbor ME 04679-4273
Phone: (207) 244-5630
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD19832 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0420010126 Vermont

Profile Details

NPI number 1417043639
LBN Legal business name Witham, Peter H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Aug 23rd, 2019 - about 5 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 1417043639 NPPES
Vermont MEDICAID OVN2345

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