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
Phone: (609) 653-1863
Fax: (609) 601-1406
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336188572 | NPPES |
| New Jersey | Other | 222205797 | TAX ID |
| New Jersey | Other | 25MA02912900 | TAX ID |
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