Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E3738 | CA |
Y | 222Z00000X | Podiatrist | E3738 | CA |
NPI | 1023276508 |
---|---|
Provider Name | Dr. Joseph William Hewitson |
First Address | San Francisco, CA 94109-7891 |
Second Address | San Francisco, CA 94109-7891 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 30/05/2008 |