Witt, Michael Anthony

Witt, Michael Anthony is an individual health care provider with primary practice located at 1425 N Fairfield Rd. Ste 110, Beavercreek OH 45432-4543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Witt, Michael Anthony can be contacted via phone (937) 426-0106.

Contact Information

Primary practice address
1425 N Fairfield Rd. Ste 110 Beavercreek OH 45432-4543
Phone: (937) 426-0106
Fax: (937) 426-7153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26045 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35122511 Ohio

Profile Details

NPI number 1154373199
LBN Legal business name Witt, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 25th, 2021 - about 4 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 1154373199 NPPES
Georgia MEDICAID 00283621A
Georgia MEDICAID 0120611

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