Witte, John T

Witte, John T is an individual health care provider with primary practice located at 2235 E Gala St , Meridian ID 83642-8026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Witte, John T can be contacted via phone (208) 887-3724.

Contact Information

Primary practice address
2235 E Gala St Meridian ID 83642-8026
Phone: (208) 887-3724
Fax: (208) 887-3724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M-5529 Idaho

Profile Details

NPI number 1063407641
LBN Legal business name Witte, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 21st, 2018 - about 7 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 1063407641 NPPES
Idaho Other 000010005904 BLUE SHIELD OF IDAHO
Idaho MEDICAID 002733600 BLUE SHIELD OF IDAHO
Idaho Other 55293 BLUE SHIELD OF IDAHO
Idaho Other 100001868 BLUE SHIELD OF IDAHO

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