Witham, Robert R
Witham, Robert R is an sole proprietor health care provider with primary practice located at 3920 Capital Mall Dr Sw Suite 100, Olympia WA 98502-8701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Witham, Robert R can be contacted via phone (360) 753-4700.Contact Information
Primary practice address
3920 Capital Mall Dr Sw Suite 100
Olympia WA 98502-8701
Phone: (360) 753-4700
Fax: (360) 753-6700
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00017298 | Washington |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00017298 | Washington |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD00017298 | Washington |
Profile Details
NPI number | 1649296971 |
---|---|
LBN Legal business name | Witham, Robert R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 13th, 2006 |
Last updated | Oct 15th, 2010 - about 14 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 | 1649296971 | NPPES |
Washington | MEDICAID | 1506807 |
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