Witherell, John C

Witherell, John C is an individual health care provider with primary practice located at 30 Medical Center Blvd Ste 104 , Chester PA 19013-3955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Witherell, John C can be contacted via phone (610) 874-5261.

Contact Information

Primary practice address
30 Medical Center Blvd Ste 104 Chester PA 19013-3955
Fax: (610) 874-0318
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD060067L Pennsylvania

Profile Details

NPI number 1811984206
LBN Legal business name Witherell, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 1st, 2020 - about 4 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 1811984206 NPPES
Pennsylvania MEDICAID 0117305590

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