Witham, Richard S

Witham, Richard S is an individual health care provider with primary practice located at 545 Barnhill Dr Eh 500, Indianapolis IN 46202-5112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Witham, Richard S can be contacted via phone (317) 274-3086.

Contact Information

Primary practice address
545 Barnhill Dr Eh 500 Indianapolis IN 46202-5112
Phone: (317) 274-3086
Fax: (317) 274-0241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01024020A Indiana

Profile Details

NPI number 1417926114
LBN Legal business name Witham, Richard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 12th, 2014 - about 10 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 1417926114 NPPES
Indiana Other 000000340403 BLUE CROSS
Indiana Other 000000751683 BLUE CROSS
Indiana MEDICAID 100186120 BLUE CROSS

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