Wixted, William M

Wixted, William M is an individual health care provider with primary practice located at 731 Bay Ave , Somers Point NJ 08244-2342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wixted, William M can be contacted via phone (609) 653-1863.

Contact Information

Primary practice address
731 Bay Ave Somers Point NJ 08244-2342
Fax: (609) 601-1406
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA02912900 New Jersey

Profile Details

NPI number 1336188572
LBN Legal business name Wixted, William M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 9th, 2007 - about 17 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 1336188572 NPPES
New Jersey Other 222205797 TAX ID
New Jersey Other 25MA02912900 TAX ID

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