Withers, David L

Withers, David L is an individual health care provider with primary practice located at 2 Stonecrest Drive , Huntington WV 25701-9391. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Withers, David L can be contacted via phone (304) 525-2273.

Contact Information

Primary practice address
2 Stonecrest Drive Huntington WV 25701-9391
Phone: (304) 525-2273
Fax: (304) 525-2165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01146 West Virginia

Profile Details

NPI number 1124002068
LBN Legal business name Withers, David L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Mar 30th, 2022 - about 2 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 1124002068 NPPES
Ohio MEDICAID 0080133
Ohio MEDICAID 1124002068
Ohio Other WV0029A
Ohio MEDICAID 7100120810

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