Witherspoon, Loyd William

Witherspoon, Loyd William is an sole proprietor health care provider with primary practice located at 1510 Gunbarrel Rd Suite 300, Chattanooga TN 37421-7174. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Witherspoon, Loyd William can be contacted via phone (423) 499-6488.

Contact Information

Primary practice address
1510 Gunbarrel Rd Suite 300 Chattanooga TN 37421-7174
Phone: (423) 499-6488
Fax: (423) 855-4100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM380 Tennessee

Profile Details

NPI number 1568526051
LBN Legal business name Witherspoon, Loyd William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 25th, 2012 - about 13 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 1568526051 NPPES
Tennessee MEDICAID 3353790
Tennessee Other 480035339
Tennessee MEDICAID 000776058A
Tennessee Other 4047259
Tennessee Other 412064222001
Tennessee Other DA2202
Tennessee Other TN0101

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