Wixom, William L

Wixom, William L is an individual health care provider with primary practice located at 1000 S Main St , Tipton IN 46072-9753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wixom, William L can be contacted via phone (765) 675-8397.

Contact Information

Primary practice address
1000 S Main St Tipton IN 46072-9753
Phone: (765) 675-8397
Fax: (765) 675-6704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 02001810A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02001810A Indiana

Profile Details

NPI number 1578594933
LBN Legal business name Wixom, William L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 8th, 2021 - about 5 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 1578594933 NPPES
Indiana Other 000000851734 ANTHEM PIN
Indiana MEDICAID 200116990 ANTHEM PIN

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