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THOMAS HEWITT PA
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1689650434
Individual Registrant: THOMAS HEWITT PA
Gender: M
Gender: M
Location and contact information for practice:
315 LANKFORD ST CLAY CITY, IN 47841-1008 US
Tel: 812-939-2126 Fax: 812-939-3414
Tel: 812-939-2126 Fax: 812-939-3414
Contact information for business:
315 LANKFORD ST CLAY CITY, IN 47841-1008 US
Tel: 812-939-2126 Fax: 812-939-3414
Tel: 812-939-2126 Fax: 812-939-3414
Registration Information:
NPI: 1689650434
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | IN | 10000136A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
