Witherspoon, Nicole L.

Witherspoon, Nicole L. is an individual health care provider with primary practice located at 1401 Dekalb St , Norristown PA 19401-3405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Witherspoon, Nicole L. can be contacted via phone (610) 278-7787.

Contact Information

Primary practice address
1401 Dekalb St Norristown PA 19401-3405
Phone: (610) 278-7787
Fax: (610) 278-7386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS010119L Pennsylvania

Profile Details

NPI number 1770566655
LBN Legal business name Witherspoon, Nicole L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jun 7th, 2011 - 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 1770566655 NPPES
Pennsylvania MEDICAID 0017852700001

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