Witwer, Timothy Slayton

Witwer, Timothy Slayton is an sole proprietor health care provider with primary practice located at 1207 North Road Street , Elizabeth City NC 27909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Witwer, Timothy Slayton can be contacted via phone (252) 335-4351.

Contact Information

Primary practice address
1207 North Road Street Elizabeth City NC 27909
Phone: (252) 335-4351
Fax: (252) 335-7932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24210 North Carolina

Profile Details

NPI number 1316022379
LBN Legal business name Witwer, Timothy Slayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Nov 9th, 2010 - about 15 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 1316022379 NPPES
North Carolina Other 88709 BLUE CROSS
North Carolina MEDICAID 8988709 BLUE CROSS

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