Witt, Mark. W.

Witt, Mark. W. is an individual health care provider with primary practice located at 3960 W Craig Rd Suite102, North Las Vegas NV 89032-2731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Witt, Mark. W. can be contacted via phone (702) 473-8380.

Contact Information

Primary practice address
3960 W Craig Rd Suite102 North Las Vegas NV 89032-2731
Fax: (702) 473-8383
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 601 Nevada

Profile Details

NPI number 1316064942
LBN Legal business name Witt, Mark. W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jan 26th, 2012 - about 12 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 1316064942 NPPES
Nevada MEDICAID 1316064942

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