Witt, Mark A
Witt, Mark A is an individual health care provider with primary practice located at 709 Hollybrook Dr Suite 3401, Longview TX 75605-2411. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Witt, Mark A can be contacted via phone (903) 753-1778.Contact Information
Primary practice address
709 Hollybrook Dr Suite 3401
Longview TX 75605-2411
Phone: (903) 753-1778
Fax: (903) 753-7202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1692 | Texas |
Profile Details
| NPI number | 1093782427 |
|---|---|
| LBN Legal business name | Witt, Mark A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Jun 13th, 2019 - about 6 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 | 1093782427 | NPPES |
| Texas | Other | P00442444 | RR MEDICARE |
| Texas | MEDICAID | 166961601 | RR MEDICARE |
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